Therapeutic agent

ABSTRACT

The present invention relates to agents which modulate the effect of a RAMP (Receptor Activity Modifying Protein) protein on a Calcitonin Receptor Like Receptor (CRLR). Also included in the present invention are methods and uses of such agents and assays for identifying such agents. The agents of the present disclosure may be used in the treatment of, for example, cancer, obesity and other disorders.

REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No.12/090,635, filed Apr. 17, 2008, which is the US national phase entry ofInternational Patent Application No. PCT/GB2006/050338, filed Oct. 18,2006, which claims priority to GB Patent Application No. 0521139.6,filed Oct. 18, 2005.

TECHNICAL FIELD

The invention relates to therapeutic agents based on cell surfacepolypeptides involved in adrenomedullin mediated signaling and toscreening assays to identify therapeutic agents.

BACKGROUND

Cell signaling is crucial for survival; without it physically orchemically isolated cells undergo apoptosis. In cancer cells manycontact dependent processes are aberrant, but it has been shown thatreception of adrenomedullin-mediated signaling is an essential forsurvival of cells in 80% of tumors. While many hormones and cytokinesbind to specific receptors, adrenomedullin (AM) acts through a receptorknown as the Calcitonin Receptor Like Receptor (CRLR).

The calcitonin family of bioactive peptides comprises of calcitonin,amylin, two Calcitonin-Gene Related Peptides (CGRP1, and CGRP2) andadrenomedullin (AM). Calcitonin is 32 amino acid peptide found in theparafollicular “C” cells of the thyroid in mammals as well as in anumber of non-mammals. Calcitonin regulates the mineral (calcium andphosphate) balance. Calcitonin causes hypercalcemia by acting as aninhibitor of osteoclast induced bone resorption. CGRP is a 37 amino acidpeptide produced by tissue specific processing of the calcitonin gene.Calcitonin is the major product in the thyroid, whereas CGRP is themajor product in neural tissues. CGRP is a potent cardiovascular agentand has structural similarity with amylin. CGRP is found in two isoforms(CGRP-I and CGRP-II) that differ only by 3 amino acids.

Adrenomedullin (AM) is a 52 amino acid hypotensive peptide. It hasstructural similarity with CGRP and amylin. AM is produced in peripheraltissues, adrenal medulla, lung, and kidney and it is unregulated inischaemia. Receptors for AM exist in many tissues, for example inastrocytes in the central nervous system, in the iris muscle in the eye,in bone, blood vessels, the heart, kidney and skin (Uchikawa et al.,Clin Exp Pharmacol Physiol. 2005 August; 32 (8):675-80; Sumanas et al.,Blood. 2005 Jul. 15; 106 (2):534-41; Cornish J, Reid J MusculoskeletNeuronal Interact. 2001 Sep; 2 (1):15-24; Yoshihara et al., Regul. Pept.2005 Apr. 15; 127 (1-3):239-44; Matsumoto et al., Clin Exp Nephrol. 2004Dec; 8 (4):316-21; Muller et al., Br J Dermatol. 2003 Jan; 148(1):30-8). In general, the calcitonin family of peptides has N-terminalring structures of 6-7 amino acids involving a disulfide and an amidatedC-terminal end.

The calcitonin family of peptides act through G-protein coupled membranereceptors (GPCRs). The gene for calcitonin receptors has been cloned. Itis homologous to GPCRs in family “B” which typically recognizeregulatory peptides (secretin, glucagons, VIP). A homolog of thecalcitonin receptor, the Calcitonin Receptor Like Receptor (CRLR, alsoknown as CL) has been identified (human 461 aa; rat/mouse 463 aa) andhas 55% homology with calcitonin receptor (Njuki et al., Clin. Sci. 85,385-388 (1993); Chang et al., Neuron 11, 1187-1195 (1993); Fluhmann etal., Biochem. Biophys. Res. Commun. 206, 341-347 (1995); Kapas et al.,J. Biol. Chem. 270, 25344-25347 (1995)). Two related members of thefamily “A” class of GPCR, RDC1 and G1OD, were identified as receptorsfor CGRP and AM, respectively.

Alone, the CRLR is unable to transduce a signal in response to AM, asthe presence of a RAMP (Receptor Activity Modifying Protein) is neededto induce ligand specificity, binding and activation of the CRLR. TheRAMPs are family of small intrinsic membrane proteins, with a predictedsizes of 14,000-17,0000 Kd. RAMPs consists of approximately 120 aminoacids with a large extra-cellular domains of around 100 amino acids; asingle membrane spanning domain and a short intra-cellular region ofapproximately 10 amino acids.

It has been shown that CRLR can function as either a CGRP receptor or anAM receptor, depending upon which members of the RAMP family, RAMPs1-3,are expressed. RAMP1, 2 and 3 contain an N-terminal signal peptide, anextracellular N-terminus, a single transmembrane domain near theC-terminus, and cytoplasmic C-terminus. RAMP1-3 displays 31% identity.RAMP-2 and RAMP-3 have approximately 30% identity. RAMPS may be involvedin the transport of CRLR to the plasma membrane.

The three members of the RAMP family, RAMP1, 2 and 3, engender differentligand specificities of the CRLR so that:

-   RAMP1+CRLR=CGRP receptor-   RAMP2+CRLR=AM receptor-   RAMP3+CRLR=AM receptor

RAMP1 presents CRLR at the plasma membrane as a terminally glycosylated,mature glycoprotein and a CGRP receptor, whereas RAMPs 2 and 3 presentCRLR as an immature, core glycosylated ADM receptor (McLatchie et al.,1998).

The present invention relates to the identification of therapeuticagents with the ability to influence RAMP-CLRL interactions. Such agentsare targets for, inter alia, cancer therapy.

SUMMARY

In a first aspect of the present invention, there is provided an agentwhich is capable of binding to and or modulating an effect of acalcitonin receptor-like receptor (CRLR) of one or more RAMP proteins(Receptor Activity Modifying Protein) selected from (i) a RAMP-3, (ii) aRAMP-2 and (iii) RAMP-1 protein.

In an embodiment, the agent binds to an extracellular domain of a RAMPprotein. In a particular embodiment, the RAMP protein is a human RAMPprotein. Particularly, the agent may be capable of modulatinginteraction of RAMP-3 and CRLP.

In one embodiment, the agent of the present invention binds at least oneligand selected from:

-   -   (a) a peptide moiety of 1 to 31 amino acid residues including a        sequence of contiguous amino acid residues comprised in the        sequence of contiguous amino acids from position 1 to position        31 of a human RAMP-3 protein as shown in FIG. 3 (SEQ ID NO: 6);    -   (b) a peptide moiety of 1 to 15 amino acid residues including a        sequence of contiguous amino acid residues comprised in the        sequence of contiguous amino acids from position 32 to position        46 of a human RAMP-3 protein as shown in FIG. 3 (SEQ ID NO: 6);        and    -   (c) a peptide moiety of 1 to 53 amino acid residues including a        sequence of contiguous amino acid residues comprised in the        sequence of contiguous amino acids from position 47 to position        99 of human RAMP-3 protein as shown in FIG. 3 (SEQ ID NO: 6).

In one embodiment, the agent binds to at least one ligand selected from:

-   -   (a) a peptide moiety of 1 to 32 amino acid residues including a        sequence of contiguous amino acid residues comprised in the        sequence of contiguous amino acids from position 1 to position        32 of a human RAMP-3 protein as shown in FIG. 3 (SEQ ID NO: 6);    -   (b) a peptide moiety of 1 to 14 amino acid residues including a        sequence of contiguous amino acid residues comprised in the        sequence of contiguous amino acids from position 33 to position        46 of a human RAMP-3 protein as shown in FIG. 3 (SEQ ID NO: 6);        and    -   (c) a peptide moiety of 1 to 53 amino acid residues including a        sequence of contiguous amino acid residues comprised in the        sequence of contiguous amino acids from position 47 to position        99 of human RAMP-3 protein as shown in FIG. 3 (SEQ ID NO: 6).

Typically, the peptide moiety is between 5 and 15 amino acids long.Peptide moieties (a), (b) and (c) independently of one another may have5, 6, 7, 8, 9, 10, 11, 12, 13 or 14 amino acid residues. They may have 5to 13, 5 to 11 or 5 to 9 residues e.g. 13 amino acid residues, 11 aminoacid residues or 9 residues. Also, within the scope of the invention arepeptide moieties (a), (b) and (c) having (independently of one another)5, 6, 7, 8, 10, 12, 14 or 15 amino acid residues. Larger numbers ofamino acid residues for peptide moieties of (a), (b) and (c) arepossible including 17, 18, 19, 20, 25 or 30 residues. Peptide moiety (c)may have larger numbers of amino acid residues including, for example,31, 32, 35, 40, 45, 50 and 53 amino acid residues. The agent of thepresent invention may bind to an epitope which comprises at least onepeptide moiety described herein.

Peptide moiety (b) may include all or part of a putative CRLR bindingdomain. The agent may bind to a fragment of a human RAMP-3 which isproduced by enzyme digestion of a RAMP-3 extracellular domain usinghuman caspase-3 and human calpain-1.

Also included in the present disclosure are agents which bind to atleast one peptide moiety selected from:

-   -   (a) a peptide moiety of 1 to 15 amino acid residues including a        sequence of contiguous amino acid residues comprised in the        following amino acid sequence:

(SEQ ID NO: 66) GCPRAGGCNE TGMLERLPLC GKAFADMMGK VDVWKWCNL;and

-   -   (b) a peptide moiety of 1 to 15 amino acid residues including a        sequence of contiguous amino acid residues comprised in the        following amino acid sequence:

(SEQ ID NO: 67) ESFT NCTEMEANVV GCYWPNPLAQ GFITGIHRQF FSNCTVDRVHLEDPPDEVL.

The sequences shown above are contained within a RAMP-3 protein, whichcomprises for example the amino acid sequence of FIG. 3 (SEQ ID NO: 6).

The agent of the present disclosure optionally has one or more of thefollowing two capabilities:

-   -   1. it is capable of inhibiting proliferation of a SW-13 cell        which expresses said RAMP and CRLR proteins by at least 10%,        wherein said proliferation is measured using a MTT Cell        Proliferation Assay; and/or    -   2. it is capable of inhibiting cAMP production in a human MG63        osteosarcoma cell, in response to administration of        adrenomedullin, by at least about 15% as compared to        administration of adrenomedullin in the absence of the agent.

The agent may be capable of binding to a RAMP protein, e.g. RAMP-3. Inone embodiment, the agent binds to the extracellular domain of RAMP-3,e.g. a sequence comprising amino acid residues 1 to 99 of FIG. 3 (SEQ IDNO: 6).

The data disclosed herein may indicate that inhibitors of either theinteraction between RAMP-3 and CRLR on the one hand or the interactionbetween a RAMP-3/CRLR associated complex and a ligand such asadrenomedullin may have use in the prevention of cancer andangiogenesis. Such an agent may also have use in the treatment ofdiabetes, including alleviating the symptoms of diabetes e.g. diabeticmicroangiopathies.

According to an aspect of the invention there is provided an agent thatmodulates the effect of a polypeptide on calcitonin receptor likereceptor (CRLR) function wherein said polypeptide is selected from thegroup consisting of:

-   -   i) a polypeptide, or variant thereof, encoded by a nucleic acid        molecule consisting of a nucleic acid sequence as represented by        FIG. 1, 2 or 3 (SEQ ID NO: 1, 3 or 5, respectively);    -   ii) a polypeptide encoded by a nucleic acid molecule which        hybridizes under stringent conditions to a nucleic acid molecule        as defined in (i) above and which modulates CRLR function; and    -   iii) a polypeptide comprising a nucleic acid which is degenerate        as a result of the genetic code to the nucleic acid sequence        defined in (i) and (ii), characterized in that said agent is for        use as a pharmaceutical.

As used herein “CRLR function or activity” refers to any biologicalactivity of CRLR. A specific “function” includes CRLR activation inresponse to a ligand, examples of which include adrenomedullin (AM) andCGRP. Typically, CRLR activation in response to AM or CGRP induces cAMPexpression and the activation of other second messenger systems.

Since a ligand such as AM or CGRP will bind to the polypeptide of theinvention i.e. a RAMP protein, only when the polypeptide is associatedwith CRLR, the agents according to the invention can be used tomodulate, for example interfere with, the association of the RAMPprotein with CRLR. By interfering with the association of the RAMPprotein e.g. RAMP-1, RAMP-2 and RAMP-3 with CRLR, CRLR activation can beaffected, for example, reduced or even prevented. Said interference maybe for example as a result of direct or indirect blocking of a ligandbinding site on the RAMP protein, on the CRLR and/or within a complex ofRAMP/CRLR. In one embodiment, the agent binds to an amino acid sequenceof an extracellular domain of RAMP-3 protein which is not the CRLRbinding region. In an alternative embodiment, the agent may be anagonist, that is to say, mimics the interaction of the RAMP/CRLRreceptor with a ligand, and therefore may lead to stimulation of theCRLR receptor and increased or unusual signaling by the receptor.

In a preferred embodiment, the agent is an antibody product. In oneembodiment, the antibody product binds to a RAMP-3 protein. The antibodymay specifically bind to RAMP-3.

Encompassed within the scope of the present disclosure is the agent foruse as a pharmaceutical.

In further aspects of the present invention, there are provided vectorswhich are adapted for the expression of an agent of the presentinvention when the agent is, for example, an antibody product or aprotein e.g. a fusion protein. The present invention also provides acell which has been transformed or transfected with a vector asdescribed herein.

In a further aspect of the present invention, there is provided a methodof producing an agent as described herein for example an antibody.

DETAILED DESCRIPTION

The following terms and abbreviations are used in this specification:

Definitions

Unless otherwise noted, technical terms are used according toconventional usage. Definitions of common terms in molecular biology maybe found in Benjamin Lewin, Genes V, published by Oxford UniversityPress, 1994 (ISBN 0-19-854287-9); Kendrew et al. (eds.), TheEncyclopedia of Molecular Biology, published by Blackwell Science Ltd.,1994 (ISBN 0-632-02182-9); and Robert A. Meyers (ed.), Molecular Biologyand Biotechnology: a Comprehensive Desk Reference, published by VCHPublishers, Inc., 1995 (ISBN 1-56081-569-8). Definitions and additionalinformation known to one of skill in the art in immunology can be found,for example, in Fundamental Immunology, W. E. Paul, ed., fourth edition,Lippincott-Raven Publishers, 1999.

Antibody fragment (fragment with specific antigen binding): Variousfragments of antibodies have been defined, including Fab, (Fab′)₂, Fv,dsFV, single-chain Fv (scFv) and domain antibodies, including singledomain antibodies. These antibody fragments are defined as follows: (1)Fab, the fragment that contains a monovalent antigen-binding fragment ofan antibody molecule produced by digestion of whole antibody with theenzyme papain to yield an intact light chain and a portion of one heavychain or equivalently by genetic engineering; (2) Fab′, the fragment ofan antibody molecule obtained by treating whole antibody with pepsin,followed by reduction, to yield an intact light chain and a portion ofthe heavy chain; two Fab' fragments are obtained per antibody molecule;(3) (Fab')₂, the fragment of the antibody obtained by treating wholeantibody with the enzyme pepsin without subsequent reduction orequivalently by genetic engineering; (4) F(Ab′)₂, a dimer of two FAb′fragments held together by disulfide bonds; (5) Fv, a geneticallyengineered fragment containing the variable region of the light chainand the variable region of the heavy chain expressed as two chains;dsFV, which is the variable region of the light chain and the variableregion of the heavy chain linked by disulfide bonds and (6) single chainantibody (“SCA”), a genetically engineered molecule containing thevariable region of the light chain, the variable region of the heavychain, linked by a suitable polypeptide linker as a genetically fusedsingle chain molecule. Single chain antibodies may also be referred toas single chain variable fragments (scFv).

Single domain antibodies are antibodies whose complementary determiningregions are part of a single domain polypeptide. Examples include, butare not limited to, heavy chain antibodies, antibodies naturally devoidof light chains, single domain antibodies derived from conventional4-chain antibodies, engineered antibodies and single domain scaffoldsother than those derived from antibodies. Single domain antibodies maybe any of the art, or any future single domain antibodies. Single domainantibodies may be derived from any species including, but not limited tomouse, human, camel, llama, goat, rabbit, bovine. A single domainantibody may be a naturally occurring single domain antibody known asheavy chain antibody devoid of light chains. Such single domainantibodies are disclosed in WO 9404678 for example. Methods of makingthese fragments are routine in the art.

dAB (domain antibodies) are the smallest functional binding units ofantibodies, corresponding to the variable regions of either the heavy(VH) or light (VL) chains of human antibodies. Domain Antibodies have amolecular weight of approximately 13 kDa, or less than one-tenth thesize of a full antibody. Domain antibodies may include dAbs which bindto two therapeutic targets. These include: IgG-like molecules; PEGylatedfusion proteins; and anti-serum albumin fusion proteins. In the IgG-likeantibody, two variable domains bind to two therapeutic targets on eacharm of the IgG.

Cell line/Cell culture A “cell line” or “cell culture” denotes highereukaryotic cells grown or maintained in vitro. It is understood that theprogeny of a cell may not be completely identical (eithermorphologically, genotypically, or phenotypically) to the parent cell.“Heterologous” means derived from a genotypically distinct entity fromthe rest of the entity to which it is being compared. For example, apolynucleotide may be placed by genetic engineering techniques into aplasmid or vector derived from a different source, and is a heterologouspolynucleotide. A promoter removed from its native coding sequence andoperatively linked to a coding sequence with which it is not naturallyfound linked is a heterologous promoter. An “isolated” polynucleotide orpolypeptide is one that is substantially free of the materials withwhich it is associated in nature. By substantially free is meant atleast 50%, preferably at least 70%, more preferably at least 80%, andeven more preferably at least 90% free of the materials with which it isassociated in nature.

Complementarity-determining region (CDR): The CDRs are threehypervariable regions within each of the variable light (VL) andvariable heavy (VH) regions of an antibody molecule that form theantigen-binding surface that is complementary to the three-dimensionalstructure of the bound antigen. Proceeding from the N-terminus of aheavy or light chain, these complementarity-determining regions aredenoted as “CDR1”, “CDR2,” and “CDR3,” respectively. CDRs are involvedin antigen-antibody binding, and the CDR3 comprises a unique regionspecific for antigen-antibody binding. An antigen-binding site,therefore, may include six CDRs, comprising the CDR regions from each ofa heavy and a light chain V region. Alteration of a single amino acidwithin a CDR region can alter the affinity of an antibody for a specificantigen (see Abbas et al., Cellular and Molecular Immunology, 4th ed.143-5, 2000). The locations of the CDRs have been precisely defined,e.g., by Kabat et al., Sequences of Proteins of Immunologic Interest,U.S. Department of Health and Human Services, 1983. The light and heavychains of an Ig each have three CDRs, designated L-CDR1, L-CDR2, L-CDR3and H-CDR1, H-CDR2, H-CDR3, respectively. By definition, the CDRs of thelight chain are bounded by the residues at positions 24 and 34 (L-CDR1),50 and 56 (L-CDR2), 89 and 97 (L-CDR3); the CDRs of the heavy chain arebounded by the residues at positions 31 and 35b (H-CDR1), 50 and 65(H-CDR2), 95 and 102 (H-CDR3), using the numbering convention delineatedby Kabat et al., (1991) Sequences of Proteins of Immunological Interest,5^(th) Edition, Department of Health and Human Services, Public HealthService, National Institutes of Health, Bethesda (NIH Publication No.91-3242).

Reference is made to the numbering scheme from Kabat, E. A., et al.,Sequences of Proteins of Immunological Interest (National Institutes ofHealth, Bethesda, Md. (1987) and (1991). In these compendiums, Kabatlists many amino acid sequences for antibodies for each subclass, andlists the most commonly occurring amino acid for each residue positionin that subclass. Kabat uses a method for assigning a residue number toeach amino acid in a listed sequence, and this method for assigningresidue numbers has become standard in the field. For purposes of thisinvention, to assign residue numbers to a candidate antibody amino acidsequence which is not included in the Kabat compendium, one follows thefollowing steps. Generally, the candidate sequence is aligned with anyimmunoglobulin sequence or any consensus sequence in Kabat. Alignmentmay be done by hand, or by computer using commonly accepted computerprograms; an example of such a program is the Align 2 program discussedin this description. Alignment may be facilitated by using some aminoacid residues which are common to most Fab sequences. For example, thelight and heavy chains each typically have two cysteines which have thesame residue numbers; in VL domain the two cysteines are typically atresidue numbers 23 and 88, and in the VH domain the two cysteineresidues are typically numbered 22 and 92. Framework residues generally,but not always, have approximately the same number of residues, howeverthe CDRs will vary in size. For example, in the case of a CDR from acandidate sequence which is longer than the CDR in the sequence in Kabatto which it is aligned, typically suffixes are added to the residuenumber to indicate the insertion of additional residues (see, e.g.residues 100abcde in FIG. 5). For candidate sequences which, forexample, align with a Kabat sequence for residues 34 and 36 but have noresidue between them to align with residue 35, the number 35 is simplynot assigned to a residue.

CDR and FR residues are also determined according to a structuraldefinition (as in Chothia and Lesk, J. Mol. Biol. 196:901-917 (1987).Where these two methods result in slightly different identifications ofa CDR, the structural definition is preferred, but the residuesidentified by the sequence definition method are considered important FRresidues for determination of which framework residues to import into aconsensus sequence.

Constant Region: The portion of the antibody molecule which conferseffector functions. In the present disclosure, the variant antibodies ofuse can include constant regions derived from human immunoglobulins. Theheavy chain constant region can be selected from any of five isotypes:alpha, delta, epsilon, gamma or mu. Heavy chains of various subclasses(such as the IgG subclass of heavy chains) are responsible for differenteffector functions. Thus, by choosing the desired heavy chain constantregion, humanized antibodies with the desired effector function can beproduced. The light chain constant region can be of the kappa or lambdatype.

Epitope: The site on an antigen recognized by an agent as determined bythe specificity of the amino acid sequence. Two agents are said to bindto the same epitope if each competitively inhibits (blocks) binding ofthe other to the antigen as measured in a competitive binding assay(see, e.g., Junghans et al., Cancer Res. 50:1495-1502, 1990).Alternatively, two antibodies have the same epitope if most amino acidmutations in the antigen that reduce or eliminate binding of oneantibody reduce or eliminate binding of the other. Two antibodies aresaid to have overlapping epitopes if each partially inhibits binding ofthe other to the antigen, and/or if some amino acid mutations thatreduce or eliminate binding of one antibody reduce or eliminate bindingof the other.

Framework region (FR): Relatively conserved sequences flanking the threehighly divergent complementarity-determining regions (CDRs) within thevariable regions of the heavy and light chains of an antibody. Hence,the variable region of an antibody heavy or light chain consists of a FRand three CDRs. Some FR residues may contact bound antigen; however, FRsare primarily responsible for folding the variable region into theantigen-binding site, particularly the FR residues directly adjacent tothe CDRs. Without being bound by theory, the framework regions serve tohold the CDRs in an appropriate orientation for antigen binding. Thenumbering of the residues in the light chain and heavy chain frameworkregions follows the numbering convention delineated by Kabat et al.,(1991, supra). The sequences of the framework regions of different lightor heavy chains are relatively conserved within a species. A “human”framework region is a framework region that is substantially identical(about 85% or more, usually 90-95% or more) to the framework region of anaturally occurring human immunoglobulin.

Inhibit: A species which retards, blocks or prevents an interaction, forexample (i) binding between a RAMP protein and a ligand or (ii)association between a RAMP protein and a CRLR or (iiI) binding of aRAMP/CRLR complex with a ligand, is considered to inhibit theinteraction. Typically, inhibition does not result in 100% blockage butrather reduces the amount and/or speed of interaction.

Immunogenicity: A measure of the ability of a targeting protein, atherapeutic moiety or an agent to elicit an immune response (humoral orcellular) when administered to a subject.

Immunoglobulin: Immunoglobulin (Ig) molecules and immunologically activeportions of Ig molecules, for instance, molecules that contain anantigen binding site which specifically binds (immunoreacts with) anantigen. The term “antibody” may also be used.

A naturally occurring antibody or immunoglobulin (for example, IgG)includes four polypeptide chains, two heavy (H) chains and two light (L)chains interconnected by disulfide bonds. The two heavy chains arelinked to each other by disulfide bonds and each heavy chain is linkedto a light chain by a disulfide bond. There are two types of lightchain, lambda (X) and kappa (k). There are five main heavy chain classes(or isotypes) which determine the functional activity of an antibodymolecule: IgM, IgD, IgG, IgA and IgE. Full-length immunoglobulin lightchains are generally about 25 Kd or 214 amino acids in length.Full-length immunoglobulin heavy chains are generally about 50 Kd or 446amino acid in length. Light chains are encoded by a variable region geneat the NH2-terminus (about 110 amino acids in length) and a kappa orlambda constant region gene at the COOH-terminus. Heavy chains aresimilarly encoded by a variable region gene (about 116 amino acids inlength) and one of the other constant region genes.

The basic structural unit of an antibody is generally a tetramer thatconsists of two identical pairs of immunoglobulin chains, each pairhaving one light and one heavy chain. In each pair, the light and heavychain variable regions bind to an antigen, and the constant regionsmediate effector functions. Immunoglobulins also exist in a variety ofother forms including, for example, Fv, Fab, and (Fab′)₂, as well asbifunctional hybrid antibodies and single chains (e.g., Lanzavecchia etal., Eur. J. Immunol. 17:105, 1987; Huston et al., Proc. Natl. Acad.Sci. U.S.A., 85:5879-5883, 1988; Bird et al., Science 242:423-426, 1988;Hood et al., Immunology, Benjamin, N.Y., 2nd ed., 1984; Hunkapiller andHood, Nature 323:15-16, 1986).

Each chain contains distinct sequence domains. The light chain includestwo domains, a variable domain (VL) and a constant domain (CL). Theheavy chain includes four domains, a variable domain (VH) and threeconstant domains (CH1, CH2 and CH3, collectively referred to as CH). Thevariable regions of both light (VL) and heavy (VH) chains determinebinding recognition and specificity to the antigen. The constant regiondomains of the light (CL) and heavy (CH) chains confer importantbiological properties such as antibody chain association, secretion,transplacental mobility, complement binding, and binding to Fcreceptors. An immunoglobulin light or heavy chain variable regionincludes a framework region interrupted by three hypervariable regions,also called complementarity determining regions (CDR's) (see, Sequencesof Proteins of Immunological Interest, E. Kabat et al., U.S. Departmentof Health and Human Services, 1983). As noted above, the CDRs areprimarily responsible for binding to an epitope of an antigen. Thespecificity of the antibody resides in the structural complementaritybetween the antibody combining site and the antigenic determinant.

Chimeric antibodies are antibodies whose light and heavy chain geneshave been constructed, typically by genetic engineering, fromimmunoglobulin variable and constant region genes belonging to differentspecies. For example, the variable segments of the genes from a mousemonoclonal antibody can be joined to human constant segments, such askappa and gamma 1 or gamma 3. In one example, a therapeutic chimericantibody is thus a hybrid protein composed of the variable orantigen-binding domain from a mouse antibody and the constant oreffector domain from a human antibody, although other mammalian speciescan be used, or the variable region can be produced by moleculartechniques. Methods of making chimeric antibodies are well known in theart, e.g., see U.S. Pat. No. 5,807,715, which is herein incorporated byreference.

A “humanized” immunoglobulin or antibody is an immunoglobulin includinga human framework region and one or more CDRs from a non-human (such asa mouse, rat, or synthetic) immunoglobulin. The non-human immunoglobulinproviding the CDRs is termed a “donor” and the human immunoglobulinproviding the framework is termed an “acceptor.” In one embodiment, allthe CDRs are from the donor immunoglobulin in a humanizedimmunoglobulin. Constant regions need not be present, but if they are,they must be substantially identical to human immunoglobulin constantregions, i.e., at least about 85-90%, such as about 95% or moreidentical. Hence, all parts of a humanized immunoglobulin, exceptpossibly the CDRs, are substantially identical to corresponding parts ofnatural human immunoglobulin sequences. A “humanized antibody” is anantibody comprising a humanized light chain and a humanized heavy chainimmunoglobulin. A humanized antibody binds to the same antigen as thedonor antibody that provides the CDRs. The acceptor framework of ahumanized immunoglobulin or antibody may have a limited number ofsubstitutions by amino acids taken from the donor framework. Humanizedor other monoclonal antibodies can have additional conservative aminoacid substitutions which have substantially no effect on antigen bindingor other immunoglobulin functions. Exemplary conservative substitutionsare those such as gly, ala; val, ile, leu; asp, glu; asn, gln; ser, thr;lys, arg; and phe, tyr (see U.S. Pat. No. 5,585,089, which isincorporated herein by reference). Humanized immunoglobulins can beconstructed by means of genetic engineering, e.g., see U.S. Pat. No.5,225,539 and U.S. Pat. No. 5,585,089, which are herein incorporated byreference.

A human antibody is an antibody wherein the light and heavy chain genesare of human origin. Human antibodies can be generated using methodsknown in the art. Human antibodies can be produced by immortalizing ahuman B cell secreting the antibody of interest. Immortalization can beaccomplished, for example, by EBV infection or by fusing a human B cellwith a myeloma or hybridoma cell to produce a trioma cell. Humanantibodies can also be produced by phage display methods (see, e.g.,Dower et al., PCT Publication No. WO91/17271; McCafferty et al., PCTPublication No. WO92/001047; and Winter, PCT Publication No. WO92/20791,which are herein incorporated by reference), or selected from a humancombinatorial monoclonal antibody library (see the Morphosys website).Human antibodies can also be prepared by using transgenic animalscarrying a human immunoglobulin gene (e.g., see Lonberg et al., PCTPublication No. WO93/12227; and Kucherlapati, PCT Publication No.WO91/10741, which are herein incorporated by reference).

Antibodies may also be obtained using phage display technology. Phasedisplay technology is known in the art for example Marks et al J. Mol.Biol. 222: 581-597 and Ckackson et al, Nature 352: 624-628, bothincorporated herein by reference. Phage display technology can also beused to increase the affinity of an antibody. To increase antibodyaffinity, the antibody sequence is diversified, a phage antibody libraryis constructed, and a higher affinity binders are selected on antigen(see for example Marks et al Bio/Technology 10:779-783, Barbas et alProc. Natl. Acad. Sci USA 91:3809-3813 and Schier et al J. Mol. Biol.263: 551-567, all incorporated herein by reference.

Aptamer: The agent of the present invention may also be an aptamer.Aptamers have been defined as artificial nucleic acid ligands that canbe generated against amino acids, drugs, proteins and other molecules.They are isolated from complex libraries of synthetic nucleic acids byan iterative process of adsorption, recovery and re-amplification.

RNA aptamers are nucleic acid molecules with affinities for specifictarget molecules. They have been likened to antibodies because of theirligand binding properties. They may be considered as useful agents for avariety of reasons. Specifically, they are soluble in a wide variety ofsolution conditions and concentrations, and their binding specificitiesare largely undisturbed by reagents such as detergents and other milddenaturants. Moreover, they are relatively cheap to isolate and produce.They may also readily be modified to generate species with improvedproperties. Extensive studies show that nucleic acids are largelynon-toxic and non-immunogenic and aptamers have already found clinicalapplication. Furthermore, it is known how to modulate the activities ofaptamers in biological samples by the production of inactive dsRNAmolecules in the presence of complementary RNA single strands (Rusconiet al., 2002).

It is known from the prior art how to isolate aptamers from degeneratesequence pools by repeated cycles of binding, sieving and amplification.Such methods are described in U.S. Pat. No. 5,475,096, U.S. Pat. No.5,270,163 and EP0533 38 and typically are referred to as SELEX(Systematic Evolution of Ligands by EX-ponential Enrichment). The basicSELEX system has been modified for example by using Photo-SELEX whereaptamers contain photo-reactive groups capable of binding and/or photocross-linking to and/or photo-activating or inactivating a targetmolecule. Other modifications include Chimeric-SELEX, Blended-SELEX,Counter-SELEX, Solution-SELEX, Chemi-SELEX, Tissue-SELEX andTranscription-free SELEX which describes a method for ligating randomfragments of RNA bound to a DNA template to form the oligonucleotidelibrary. However, these methods even though producing enrichedligand-binding nucleic acid molecules, still produce unstable products.In order to overcome the problem of stability it is known to createenantiomeric “spiegelmers” (WO 01/92566). The process involves initiallycreating a chemical minor image of the target, then selecting aptamersto this mirror image and finally creating a chemical mirror image of theSELEX selected aptamer. By selecting natural RNAs, based on D-ribosesugar units, against the non-natural enantiomer of the eventual targetmolecule, for example a peptide made of D-amino acids, a spiegelmerdirected against the natural L-amino acid target can be created. Oncetight binding aptamers to the non-natural enantiomer target are isolatedand sequenced, the Laws of Molecular Symmetry mean that RNAs synthesizedchemically based on L-ribose sugars will bind the natural target, thatis to say the mirror image of the selection target. This process isconveniently referred to as reflection-selection or minor selection andthe L-ribose species produced are significantly more stable inbiological environments because they are less susceptible to normalenzymatic cleavage, i.e. they are nuclease resistant.

Immunoreactivity: A measure of the ability of an agent, sometimes anantibody, to recognize and bind to a specific antigen. “Specificallybinds” refers to the ability of individual agents or antibodies tospecifically immunoreact with an antigen. This binding is a non-randombinding reaction between an agent, for example but not limited to aantibody molecule, and the antigen. Binding specificity is typicallydetermined from the reference point of the ability of the agent todifferentially bind the antigen of interest and an unrelated antigen,and therefore distinguish between two different antigens, particularlywhere the two antigens have unique epitopes.

Typically, specificity may be determined by means of a binding assaysuch as ELISA employing a panel of antigens. An agent according to thepresent invention may recognise a RAMP protein, e.g. RAMP-1, RAMP-2 orRAMP-3 on cells.

Monoclonal antibody: is an antibody produced by a single clone ofB-lymphocytes or by a cell into which the light and heavy chain genes ofa single antibody have been transfected.

Monoclonal antibodies are produced by methods known to those of skill inthe art, for instance by making hybrid antibody-forming cells from afusion of myeloma cells with immune spleen cells. Generally, amonoclonal antibody is produced by a specific hybridoma cell, or aprogeny of the hybridoma cell propagated in culture. A hybridoma orother cell producing an antibody may be subject to genetic mutation orother changes, which may or may not alter the binding specificity ofantibodies produced.

Nucleic Acid A “nucleic acid” is a polymeric form of nucleotides of anylength, which contain deoxyribonucleotides, ribonucleotides, and analogsin any combination. Nucleic acids may have any three-dimensionalstructure, and may perform any function, known or unknown. The term“nucleic acid” includes double-, single-stranded, and triple-helicalmolecules. Unless otherwise specified or required, any embodiment of theinvention described herein that is a nucleic acid encompasses both thedouble-stranded form and each of two complementary single-stranded formsknown or predicted to make up the double stranded form.

Polypeptide The terms “polypeptide”, “peptide” and “protein” are usedinterchangeably herein to refer to polymers of amino acids of anylength. The polymer may be linear or branched, it may comprise modifiedamino acids or amino acid analogs, and it may be interrupted bynon-amino acids. The terms also encompass an amino acid polymer that hasbeen modified naturally or by intervention; for example, disulfide bondformation, glycosylation, lipidation, acetylation, phosphorylation, orany other manipulation or modification, such as conjugation with alabelling component.

Amino acid substitutions can range from changing or modifying one ormore amino acids to complete redesign of a region, such as the variableregion. Amino acid substitutions are preferably conservativesubstitutions that do not deleteriously affect folding or functionalproperties of the peptide. Groups of functionally related amino acidswithin which conservative substitutions may be made are glycine/alanine;valine/isoleucine/leucine; asparagine/glutamine; aspartic acid/glutamicacid; serine/threonine/methionine; lysine/arginine; andphenylalanine/tryosine/tryptophan. Polypeptides of this invention may bein glycosylated or unglycosylated form, may be modifiedpost-translationally (e.g., acetylation, and phosphorylation) or may bemodified synthetically (e.g., the attachment of a labeling group).

As used herein, a “variant” polypeptide may differ in amino acidsequence by one or more substitutions, additions, deletions, truncationswhich may be present in any combination. Among preferred variants arethose that vary from a reference polypeptide by conservative amino acidsubstitutions. Such substitutions are those that substitute a givenamino acid by another amino acid of like characteristics. The followingnon-limiting list of amino acids are considered conservativereplacements (similar): a) alanine, serine, and threonine; b) glutamicacid and asparatic acid; c) asparagine and glutamine d) arginine andlysine; e) isoleucine, leucine, methionine and valine and f)phenylalanine, tyrosine and tryptophan.

As mentioned above, a first aspect of the present invention provides anagent which is capable of binding to and or modulating an effect an acalcitonin receptor-like receptor (CRLR) of one or more RAMP proteins(Receptor Activity Modifying Protein) selected from (i) a RAMP-3, (ii) aRAMP-2 and (iii) RAMP-1 protein.

In an embodiment, the agent binds to an extracellular domain of a RAMPprotein. Typically, the agent is capable of modulating interaction ofRAMP-3 and CRLP.

In an embodiment, the agent is capable of inhibiting proliferation of ahuman SW-13 cell by at least 10%, wherein said inhibition is measuredusing a MTT Cell Proliferation assay. Preferably, the agent is capableof modulating e.g. interfering with, interaction of RAMP-3 and CRLP.

Typically, the agent is capable of inhibiting proliferation by at least12%. In some embodiments, the agent may be capable of inhibitingproliferation by at least 20% and optionally at least 25%. In a furtherembodiment, the agent may be capable of inhibiting proliferation by atleast 30% and further optionally at least 40%.

In one embodiment, the agent is capable of reducing or inhibitingproduction of cAMP in a human MG63 osteosarcoma cell, when stimulated byadrenomedullin, by at least about 15%, e.g. at least 15%, 16%, 17%, 18%and 19%. In some embodiments, the agent may be capable of inhibitingproduction of cAMP by at least about 20% e.g. 21%, 22% or 25%.Typically, the agent is capable of modulating an interaction of RAMP-3and CRLP.

The agent of the present disclosure may modulate an effect of a RAMPprotein, the RAMP protein being selected from;

-   -   i) a polypeptide, or variant thereof, encoded by a nucleic acid        molecule consisting of a nucleic acid sequence as represented by        FIG. 1 (SEQ ID NO: 1);    -   ii) a polypeptide encoded by a nucleic acid molecule which        hybridizes under stringent conditions to a nucleic acid molecule        as defined in (i) above and which modulates CRLR function; and    -   iii) a polypeptide comprising a nucleic acid which is degenerate        as a result of the genetic code to the nucleic acid sequence        defined in (i) and (ii), characterized in that said agent is for        use as a pharmaceutical,    -   and wherein the RAMP-2 protein is selected from:    -   i) a polypeptide, or variant thereof, encoded by a nucleic acid        molecule consisting of a nucleic acid sequence as represented by        FIG. 2 (SEQ ID NO: 3);    -   ii) a polypeptide encoded by a nucleic acid molecule which        hybridizes under stringent conditions to a nucleic acid molecule        as defined in (i) above and which modulates CRLR function; and    -   iii) a polypeptide comprising a nucleic acid which is degenerate        as a result of the genetic code to the nucleic acid sequence        defined in (i) and (ii), characterized in that said agent is for        use as a pharmaceutical,    -   and further wherein the RAMP-3 protein is selected from:    -   i) a polypeptide, or variant thereof, encoded by a nucleic acid        molecule consisting of a nucleic acid sequence as represented by        FIG. 3 (SEQ ID NO: 5);    -   ii) a polypeptide encoded by a nucleic acid molecule which        hybridizes under stringent conditions to a nucleic acid molecule        as defined in (i) above and which modulates CRLR function; and    -   iii) a polypeptide comprising a nucleic acid which is degenerate        as a result of the genetic code to the nucleic acid sequence        defined in (i) and (ii).

Preferably, the agent modulates the effect of a RAMP-3 protein which isdefined above.

The agent of the present disclosure may be an antibody product selectedfrom antibodies and antibody fragments; a protein; a polypeptide; afusion protein; an aptamer; or a compound.

In a preferred embodiment of the invention said agent is an antagonist.Alternatively, said agent is an agonist.

According to a further aspect of the invention there is provided anagent that modulates the effect of a polypeptide on calcitonin receptorlike receptor (CRLR) function wherein the polypeptide comprises an aminoacid sequence as represented in FIG. 1, 2 or 3 (SEQ ID NO: 2, 4 or 6,respectively), or a variant polypeptide wherein said variant is modifiedby addition, deletion or substitution of at least one amino acid residueof the amino acid sequence presented in FIG. 1, 2 or 3 (SEQ ID NO: 2, 4or 6, respectively), wherein said polypeptide modulates CRLR function,characterized in that said agent is for use as a pharmaceutical.

In addition, the present disclosure features polypeptide sequenceshaving at least 75% identity with the polypeptide sequences as hereindisclosed, or fragments and functionally equivalent polypeptidesthereof. In one embodiment, the polypeptides have at least 85% identity,more preferably at least 90% identity, even more preferably at least 95%identity, still more preferably at least 97% identity, and mostpreferably at least 99% identity with the amino acid sequenceillustrated herein.

The present disclosure includes a polypeptide comprising the amino acidsequence as shown in FIG. 4, 5 or 6 (SEQ ID NO: 8, 10 or 12,respectively), or a fragment or variant thereof wherein said variant ismodified by addition, deletion or substitution of at least one aminoacid residue of the amino acid sequence presented in FIG. 4, 5 or 6 (SEQID NO: 8, 10 or 12, respectively), wherein said polypeptide modulatesCRLR function. Specifically, the agent modulates the effect of a RAMPprotein as described above, on CRLR function.

As used herein “a fragment of a polypeptide comprising the amino acidsequence as shown in FIG. 4, 5 or 6” includes fragments that containbetween 1 and 99 amino acids, for example between 1 and 50 amino acidssuch as between 1 and 30 amino acids or 10 and 30 amino acids.Preferably the fragments are N-terminal sequences of the RAMP proteins.For example the fragments may comprise 1-10, 10-20 or 20-30 amino acidsat the N-terminus end of the amino acid sequences shown in FIG. 4, 5 or6 (SEQ ID NO: 8, 10 or 12, respectively). Other fragments of the RAMPproteins may be, for example, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20amino acid residues in length.

Included in the present disclosure are polypeptide fragments comprisingone or more of the amino acid sequences shown in FIG. 7, 8 or 9 (SEQ IDNO: 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36, 37, 39, 41, 43, 45,47, 49, 51, 53, 55, 57, 59, 61 or 63) or a variant polypeptide whereinsaid variant is modified by addition, deletion or substitution of atleast one amino acid residue of an amino acid sequence presented in FIG.7, 8 or 9 (SEQ ID NO: 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36,37, 39, 41, 43, 45, 47, 49, 51, 53, 55, 57, 59, 61 or 63), wherein saidpolypeptide modulates CRLR function.

In an embodiment, the agent of the present disclosure is a polypeptide.The polypeptide may comprise the amino acid sequence as shown in FIG. 4,5 or 6 (SEQ ID NO: 8, 10 or 12), or a fragment or variant thereof,wherein said polypeptide binds to a ligand of the RAMP proteins and/or aligand of the CRLR.

The agent may be a polypeptide fragment that contains between 1 and 30amino acids at the N-terminus end of the amino acid sequences shown inFIG. 4, 5 or 6 (SEQ ID NO: 8, 10 or 12), and optionally contains between5 and 30 amino acids, and further optionally contains between about 10and 30 amino acids at the N-terminus. In one embodiment, the fragmentconsists of an amino acid sequence selected from FIG. 7, 8 or 9 (SEQ IDNO: 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36, 37, 39, 41, 43, 45,47, 49, 51, 53, 55, 57, 59, 61 or 63).

In one embodiment, in which the agent is not limited to being apolypeptide, the agent comprises a detectable marker. Preferably, theagent is provided with a marker including a conventional label or tag,for example a radioactive and/or fluorescent and/or epitope label ortag.

In an embodiment, the agent is an antibody product e.g. an antibody oran active binding part of an antibody. In an embodiment of the inventionsaid antibody is a monoclonal antibody or active binding part thereof.

In a preferred embodiment of the invention said antibody is a chimericantibody or a humanized antibody e.g. one produced by recombinantmethods to contain the variable region of said antibody with aninvariant or constant region of a human antibody.

As described in detail above, chimeric antibodies are recombinantantibodies in which all of the V-regions of a mouse or rat antibody arecombined with human antibody C-regions. Humanized antibodies arerecombinant hybrid antibodies which fuse the complementarity determiningregions from a rodent antibody V-region with the framework regions fromthe human antibody V-regions. The complementarity determining regions(CDRs) are the regions within the N-terminal domain of both the heavyand light chain of the antibody to where the majority of the variationof the V-region is restricted. These regions form loops at the surfaceof the antibody molecule. These loops provide the binding surfacebetween the antibody and antigen. Antibodies from non-human animalsprovoke an immune response to the foreign antibody and its removal fromthe circulation. Both chimeric and humanized antibodies have reducedantigenicity when injected to a human subject because there is a reducedamount of rodent (i.e. foreign) antibody within the recombinant hybridantibody, while the human antibody regions do not illicit an immuneresponse. This results in a weaker immune response and a decrease in theclearance of the antibody. This is clearly desirable when usingtherapeutic antibodies in the treatment of human diseases. Humanizedantibodies are designed to have less “foreign” antibody regions and aretherefore thought to be less immunogenic than chimeric antibodies. In anembodiment of the present invention, the agent of the present disclosureis a chimeric antibody. Optionally, the agent is a chimeric or humanizedantibody or antibody fragment that binds to RAMP-3.

In an embodiment, the antibody product is an antibody fragment asdescribed herein e.g. a single chain antibody, a single chain variablefragment (scFv), a domain antibody (dAB) or a nanobody, which binds toat least one of RAMP-1, RAMP-2 and RAMP-3 proteins as described hereine.g. in FIGS. 1, 2 and 3 (SEQ ID NO: 2, 4 and 6). Preferably, theantibody product modulates an effect of the RAMP protein on the CRLRprotein. Such modulation may be for example inhibition of binding of theRAMP/CRLR heterodimer to a ligand. Whilst not being bound by theory, itis believed that the receptor formed by a RAMP/CRLR heterodimer acts asa receptor for specific ligands, e.g. adrenomedullin and CGRP. An agentof the present disclosure may act to interfere either with theassociation of the RAMP protein and the CRLR and/or with the binding ofa ligand to the receptor. In one embodiment, the RAMP protein is RAMP-3.In a preferred embodiment of the invention said agent is an antibodyfragment.

As indicated above, various fragments of immunoglobulin or antibodiesare known in the art, i.e., Fab, Fab₂, F(ab′)₂, Fv, Fc, Fd, scFvs, etc.A Fab fragment is a multimeric protein consisting of the immunologicallyactive portions of an immunoglobulin heavy chain variable region and animmunoglobulin light chain variable region, covalently coupled togetherand capable of specifically binding to an antigen. Fab fragments aregenerated via proteolytic cleavage (with, for example, papain) of anintact immunoglobulin molecule. A Fab₂ fragment comprises two joined Fabfragments. When these two fragments are joined by the immunoglobulinhinge region, a F(ab′)₂ fragment results. An Fv fragment is multimericprotein consisting of the immunologically active portions of animmunoglobulin heavy chain variable region and an immunoglobulin lightchain variable region covalently coupled together and capable ofspecifically binding to an antigen. A fragment could also be a singlechain polypeptide containing only one light chain variable region, or afragment thereof that contains the three CDRs of the light chainvariable region, without an associated heavy chain variable region, or afragment thereof containing the three CDRs of the heavy chain variableregion, without an associated light chain moiety; and multi specificantibodies formed from antibody fragments, this has for example beendescribed in U.S. Pat. No. 6,248,516. Fv fragments or single region(domain) fragments are typically generated by expression in host celllines of the relevant identified regions. These and other immunoglobulinor antibody fragments are within the scope of the invention and aredescribed in standard immunology textbooks such as Paul, FundamentalImmunology or Janeway et al. Immunobiology (cited above). Molecularbiology now allows direct synthesis (via expression in cells orchemically) of these fragments, as well as synthesis of combinationsthereof.

It is possible to create single variable regions, so called single chainantibody variable region fragments (scFv's). If a hybridoma exists for aspecific monoclonal antibody it is well within the knowledge of theskilled person to isolate scFv's from mRNA extracted from said hybridomavia RT PCR. Alternatively, phage display screening can be undertaken toidentify clones expressing scFv's. Alternatively said fragments are“domain antibody fragments”. Domain antibodies are the smallest bindingpart of an antibody (approximately 13 kDa). Examples of this technologyare disclosed in U.S. Pat. Nos. 6,248,516, 6,291,158 and 6,127,197, andEP0368684 which are all incorporated by reference in their entirety.

In one embodiment of the invention the antibody fragment is a singlechain antibody variable region fragment. A fragment of an antibody orimmunoglobulin can also have bispecific function i.e. binding twodifferent epitopes of two different antigens.

In one embodiment, the chimeric/humanized monoclonal antibody to theRAMP protein can be produced as a fusion polypeptide in an expressionvector suitably adapted for transfection or transformation ofprokaryotic or eukaryotic cells.

In a further preferred embodiment of the invention said antibodies areopsonic antibodies. Phagocytosis is mediated by macrophages andpolymorphic leukocytes and involves the ingestion and digestion ofmicro-organisms, damaged or dead cells, cell debris, insoluble particlesand activated clotting factors. Opsonins are agents which facilitate thephagocytosis of the above foreign bodies. Opsonic antibodies aretherefore antibodies which provide the same function. Examples ofopsonins are the Fc portion of an antibody or compliment C3.

In an embodiment of the invention said antibody, or antibody fragmenthas associated therewith, or crosslinked thereto, a therapeutic agent.Preferably said therapeutic agent is a chemotherapeutic agent.Preferably said therapeutic agent is selected from the group consistingof: cisplatin; carboplatin; cyclosphosphamide; melphalan; carmusline;methotrexate; 5-fluorouracil; cytarabine; mercaptopurine; daunorubicin;doxorubicin; epirubicin; vinblastine; vincristine; dactinomycin;mitomycin C; taxol; L-asparaginase; G-CSF; etoposide; colchicine;derferoxamine mesylate; and camptothecin. In one embodiment, theantibody product may be conjugated to e.g. a PEG molecule.

The binding of the agent e.g. to a RAMP protein for example RAMP-3 isoptionally binding with an affinity of greater than 10⁻⁷ M, 10⁻⁸ M, 10⁻⁹M, 10⁻¹⁰ M, 10⁻¹¹ M or 10⁻¹² M. The binding may be specific for theligand or non-specific, although in some instances there is a degree oflower affinity non-specific binding to certain other ligands unrelatedto RAMP-1, RAMP-2 or RAMP-3.

Thus, the agents of the invention may be, for example, an antibody orfragment thereof, e.g. a Fab fragment. However, also possible areaptamers, compounds, fusion proteins, proteins, peptides or combinationsthereof as defined above. Particular antibodies and fragments are Fabfragments or scFv. Naturally within the scope of the agents of theinvention are antibodies or fragments which are monoclonal, polyclonal,chimeric, human, or humanized. Other agents which bind to a RAMPprotein, wherein the binding is described herein, are encompassed withinthe present invention.

Methods of antibody isolation are well known in the art. See, forexample, Harlow and Lane (1988) Antibodies: A Laboratory Manual, ColdSpring Harbor Laboratory, New York. The method of isolation may dependon the immunoglobulin isotype. Purification methods may include saltprecipitation (for example, with ammonium sulfate), ion exchangechromatography (for example, on a cationic or anionic exchange columnrun at neutral pH and eluted with step gradients of increasing ionicstrength), gel filtration chromatography (including gel filtrationHPLC), and chromatography on affinity resins such as protein A, proteinG, hydroxyapatite, and anti-immunoglobulin. Particularly, the agent ofthe invention is purified by using Protein G-Sepharose columns.

For most applications, it is generally preferable that the polypeptidee.g. an antibody is at least partially purified from other cellularconstituents. Preferably, the polypeptide is at least about 50% pure asa weight percent of total protein. More preferably, the protein is atleast about 50-75% pure. For clinical use, the polypeptide is preferablyat least about 80% pure.

The agents of this invention can be made by any suitable procedure,including by recombinant methods or by chemical synthesis. Peptideswhich are produced may then be separated from each other by techniquesknown in the art, including but not limited to gel filtrationchromatography, gel electrophoresis, and reverse-phase HPLC.Alternatively, agents of the invention can be chemically synthesizedusing information provided in this disclosure, in conjunction withstandard methods of protein synthesis. A suitable method is thesolid-phase Merrifield technique. Automated peptide synthesizers arecommercially available, such as those manufactured by AppliedBiosystems, Inc. (Foster City, Calif.).

Also included in the present invention is a method for the production ofan antibody product e.g. an antibody or antibody fragment as describedherein, and optionally of a chimeric antibody or a humanized antibody asdefined herein comprising:

-   -   i) growing a cell transformed or transfected with a vector which        comprises a nucleic acid molecule encoding the antibody or        antibody fragment in conditions conducive to the manufacture of        said antibody; and    -   ii) purifying said antibody from said cell, or its growth        environment.

In a yet further aspect of the invention there is provided a hybridomacell line which produces a monoclonal antibody as hereinbeforedescribed.

In a further aspect of the invention there is provided a method ofproducing monoclonal antibodies according to the invention usinghybridoma cell lines according to the invention. The production ofmonoclonal antibodies using hybridoma cells is well-known in the art.The methods used to produce monoclonal antibodies are disclosed byKohler and Milstein in Nature 256, 495-497 (1975) and also by Donillardand Hoffman, “Basic Facts about Hybridomas” in Compendium of ImmunologyV.II ed. by Schwartz, 1981, which are incorporated by reference.

In a further aspect of the invention there is provided a method forpreparing a hybridoma cell-line producing monoclonal antibodiesaccording to the invention comprising the steps of:

-   -   i) immunizing an immunocompetent mammal with an immunogen        comprising at least one polypeptide having the amino acid        sequence as represented in FIG. 4, 5 or 6 (SEQ ID NO: 8, 10 or        12), or a fragment or variant thereof as defined herein;    -   ii) fusing lymphocytes of the immunized immunocompetent mammal        with myeloma cells to form hybridoma cells;    -   iii) screening monoclonal antibodies produced by the hybridoma        cells of step (ii) for binding activity to the polypeptide of        (i);    -   iv) culturing the hybridoma cells to proliferate and/or to        secrete said monoclonal antibody; and    -   v) recovering the monoclonal antibody from the culture        supernatant.

In an embodiment of the invention the polypeptide in (i) comprises anamino acid sequence as shown in FIG. 7, 8 or 9 (SEQ ID NO: 14, 16, 18,20, 22, 24, 26, 28, 30, 32, 34, 36, 37, 39, 41, 43, 45, 47, 49, 51, 53,55, 57, 59, 61 or 63) or a variant polypeptide wherein said variant ismodified by addition, deletion or substitution of at least one aminoacid residue of an amino acid sequence presented in FIG. 7, 8 or 9 (SEQID NO: 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36, 37, 39, 41, 43,45, 47, 49, 51, 53, 55, 57, 59, 61 or 63), wherein said polypeptidemodulates CRLR function.

Preferably, the said immunocompetent mammal is a mouse. Alternatively,said immunocompetent mammal is a rat.

In an alternative embodiment of the invention said agent is a nucleicacid molecule. The nucleic acid may, for example, be an antisensenucleic acid; an aptamer; or a small interfering RNA.

In an embodiment of the invention said nucleic acid molecule can be asmall interfering RNA. The small interfering RNA may be selected fromthe group consisting of sequences (1)-(5) below:

TGGCCCATCACCTCTTCATGA (SEQ ID NO: 68) (1) CTGGCTGCTCCTGGCCCATCA(SEQ ID NO: 69) (2) TCCTGGCCCATCACCTCTTCA (SEQ ID NO: 70) (3)CUAUGAGACAGCUGUCCAA (SEQ ID NO: 71) (4) GUUCUUCUCCAACUGCACC(SEQ ID NO: 72) (5)

A technique to specifically ablate gene function is through theintroduction of double stranded RNA, also referred to as smallinhibitory or interfering RNA (siRNA), into a cell which results in thedestruction of mRNA complementary to the sequence included in the siRNAmolecule. The siRNA molecule comprises two complementary strands of RNA(a sense strand and an antisense strand) annealed to each other to forma double stranded RNA molecule. The siRNA molecule is typically derivedfrom exons of the gene which is to be ablated.

The mechanism of RNA interference is being elucidated. Many organismsrespond to the presence of double stranded RNA by activating a cascadethat leads to the formation of siRNA. The presence of double strandedRNA activates a protein complex comprising RNase III which processes thedouble stranded RNA into smaller fragments (siRNAs, approximately 21-29nucleotides in length) which become part of a ribonucleoprotein complex.The siRNA acts as a guide for the RNase complex to cleave mRNAcomplementary to the antisense strand of the siRNA thereby resulting indestruction of the mRNA.

In another aspect the invention provides an isolated nucleic acidcomprising a nucleic acid sequence, which sequence encodes an agentdescribed herein which is an antibody, an antibody fragment, a fusionprotein, a peptide or a protein.

The agents of the present invention, if comprising a peptide sequence,for example an antibody, a fusion protein, a peptide or a protein, maybe encoded by a nucleic acid sequence. The present invention includesany nucleic acid sequence which encodes an agent as defined herein. Thepresent invention also includes a nucleic acid sequence which encodesthe agent of the invention but which differs from the wild-type nucleicacid as a result of the degeneracy of the genetic code.

The present invention also includes nucleic acids that share at least90% homology with a nucleic acid sequence which encodes an agent of thepresent invention. In particular, the nucleic acid may have 90%, 91%,92%, 93%, 94%, 95%, 96% 97%, 98% or 99% homology to a nucleic acid whichencodes an antibody or fragment thereof of the present invention.

In one aspect of the invention, there is provided a nucleic acidmolecule which hybridises under stringent conditions to a nucleic acidmolecule which encodes an agent of the present invention, when saidagent is an antibody or fragment thereof or a fusion protein.

Hybridization of a nucleic acid molecule occurs when two complementarynucleic acid molecules undergo an amount of hydrogen bonding to eachother. The stringency of hybridization can vary according to theenvironmental conditions surrounding the nucleic acids, the nature ofthe hybridization method, and the composition and length of the nucleicacid molecules used. Calculations regarding hybridization conditionsrequired for attaining particular degrees of stringency are discussed inSambrook et al., Molecular Cloning: A Laboratory Manual (Cold SpringHarbor Laboratory Press, Cold Spring Harbor, N.Y., 2001); and Tijssen,Laboratory Techniques in Biochemistry and MolecularBiology—Hybridization with Nucleic Acid Probes Part I, Chapter 2(Elsevier, New York, 1993). The T_(m) is the temperature at which 50% ofa given strand of a nucleic acid molecule is hybridized to itscomplementary strand. The following have been found as exemplary forhybridization conditions but without limitation:

Very High Stringency (Allows Sequences that Share at Least 90% Identityto Hybridize)

Hybridization: 5×SSC at 65° C. for 16 hours

Wash twice: 2×SSC at room temperature (RT) for 15 minutes each

Wash twice: 0.5×SSC at 65° C. for 20 minutes each

High Stringency (Allows Sequences that Share at Least 80% Identity toHybridize)

Hybridization: 5×-6×SSC at 65° C.-70° C. for 16-20 hours

Wash twice: 2×SSC at RT for 5-20 minutes each

Wash twice: 1×SSC at 55° C.-70° C. for 30 minutes each

Low Stringency (Allows Sequences that Share at Least 50% Identity toHybridize)

Hybridization: 6×SSC at RT to 55° C. for 16-20 hours

Wash at least twice: 2×-3×SSC at RT to 55° C. for 20-30 minutes each.

In a further aspect, the invention provides an expression vectorcomprising a nucleic acid as described above and associated regulatorysequences necessary for expression of a protein or polypeptide in a hostcell. Such regulatory sequences include promoters, termination sequencesand enhancers, for example.

In another related aspect, the invention provides a host cell comprisinga nucleic acid or a vector as described above. Such host cells aretransfected or transformed so that they contain the nucleic acid orvector in such a way that they are effective in expressing the desiredpolypeptide/protein when cultured in appropriate media under thenecessary growth conditions. The host cells to be used are notparticularly circumscribed so as long as they can be transfected by avector to be used and can express the DNA of the present invention. Forexample, bacteria such as Escherichia coli, yeast such as Saccharomycescerevisiae, and an animal cell such as a COS cell, a CHO cell, etc. canbe used. Examples of prokaryotic host cells appropriate for use withthis invention include E. coli. Examples of eukaryotic host cellsinclude avian, insect, plant, and animal cells such as COS7, HeLa, andCHO cells.

By cultivating a transformant or transfected cell, an agent of theinvention for example a fusion protein, antibody or antibody fragmentcan be produced in a cell or a culture medium.

Then, by collecting the produced antibody (or antibody fragment), theagent of the first aspect of the present invention can be obtained. Theobtained antibody or protein can be isolated and purified byappropriately combining methods, for example, centrifugation, ammoniumsulfate fractionation, salting out, ultrafiltration, affinitychromatography, ion-exchange chromatography, or gel-filtrationchromatography.

For example, the cells can be cultured in a suitable medium, and spentmedium can be used as an antibody source. Optionally, matrix-coatedchannels or beads and cell cocultures may be included to enhance growthof antibody-producing cells. For the production of large amounts ofantibody, it is generally more convenient to obtain an ascites fluid.The method of raising ascites generally comprises injecting hybridomacells into an immunologically naive histocompatible or immunotolerantmammal, especially a mouse. The mammal is optionally primed for ascitesproduction by prior administration of a suitable composition, forexample, Pristane. Antibodies of the invention may also be obtained byemploying routine recombinant methods such as described in Sambrook etal. (1989) supra. For instance, nucleic acid sequences of the inventioncan be cloned into a suitable expression vector (which contains controlsequences for transcription, such as a promoter). The expression vectoris in turn introduced into a host cell. The host cell is grown undersuitable conditions such that the polynucleotide is transcribed andtranslated into a protein. Heavy and light chains of antibodies of theinvention may be produced separately, and then combined by disulfidebond rearrangement. Alternatively, vectors with separate polynucleotidesencoding each chain of an antibody of the invention, or a vector with asingle polynucleotide encoding both chains as separate transcripts, maybe transfected into a single host cell which may then produce andassemble the entire molecule. Preferably, the host cell is a highereukaryotic cell that can provide the normal carbohydrate complement ofthe molecule. The fusion protein or antibody is thus produced in thehost cell can be purified using standard techniques in the art.

According to a further aspect of the invention there is provided anassay for determining level of expression of a RAMP nucleic acidmolecule e.g. having a sequence as shown in FIG. 1, 2 or 3 (SEQ ID NO:1, 3 or 5), or a nucleic acid molecule that hybridizes to said nucleicacid molecule under stringent hybridization conditions and encodes avariant polypeptide comprising an amino acid sequence as represented inFIG. 1, 2 or 3 (SEQ ID NO: 1, 2 or 3), the method comprising the stepsof:

-   -   i) contacting an isolated cell sample with a binding agent(s)        that binds to a nucleic acid molecule that encodes a RAMP        protein, and    -   ii) comparing the expression of said nucleic acid molecule in        said sample with a standard sample.

The binding agent(s) may be selected from an oligonucleotide primer andan antibody that specifically binds said polypeptide as represented bythe amino acid sequence in FIG. 1, 2 or 3 (SEQ ID NO: 2, 4 or 6). In oneembodiment, the assay comprises a polymerase chain reaction.

In one aspect of the present invention, there is provided a diagnosticassay for the determination of cancer in a subject comprising the stepsof:

-   -   i) providing an isolated cell sample;    -   ii) contacting the sample in (i) with a binding agent(s) that        binds to a nucleic acid molecule that encodes a polypeptide        comprising an amino acid sequence as represented in FIG. 1, 2 or        3 (SEQ ID NO: 2, 4 or 6), or a fragment or variant thereof as        defined herein, or a nucleic acid molecule that hybridizes to        said nucleic acid molecule under stringent hybridization        conditions and encodes a variant polypeptide comprising an amino        acid sequence as represented in FIG. 1, 2 or 3 (SEQ ID NO: 2, 4        or 6); and    -   iii) determining the expression of said nucleic acid molecule in        said sample when compared to a normal matched control sample.

In a preferred embodiment of the invention said binding agent(s) is anoligonucleotide primer. Preferably said assay is a polymerase chainreaction. In an alternative preferred embodiment of the invention saidbinding agent is an antibody that specifically binds said polypeptide asrepresented by the amino acid sequence in FIG. 1, 2 or 3 (SEQ ID NO: 2,4 or 6), or a polypeptide variant comprising an amino acid sequence thatvaries from a reference amino acid sequence by addition, deletion orsubstitution of at least one amino acid residue.

A further aspect of the present invention provides a method of screeningfor an agent that modulates the activity of a RAMP protein encoded by anucleic acid molecule selected from the group consisting of:

-   -   a) a nucleic acid molecule consisting of a nucleic acid sequence        as represented in FIG. 1, 2 or 3 (SEQ ID NO: 1, 3 or 5);    -   b) a nucleic acid molecule that hybridizes under stringent        hybridization conditions to the nucleic acid molecule in (i)        above and which modulates CRLR function;        said method comprising contacting a cell which expresses the        RAMP protein on the cell surface with a test compound and        determining the ability of the test compound to modulate the        activity of the RAMP protein.

The present disclosure also provides a use of a RAMP protein in theidentification of agents which modulate a CRLR function wherein the RAMPprotein is selected from the group consisting of:

-   -   i) a polypeptide, or variant thereof, encoded by a nucleic acid        molecule consisting of a nucleic acid sequence as represented by        FIG. 1, 2 or 3 (SEQ ID NO: 1, 3 or 5);    -   ii) a polypeptide encoded by a nucleic acid molecule which        hybridizes under stringent conditions to a nucleic acid molecule        as defined in (i) above and which modulates CRLR function; and    -   iii) a polypeptide comprising a nucleic acid which is degenerate        as a result of the genetic code to the nucleic acid sequence        defined in (i) and (ii).

The present disclosure also provides a use of a CRLR in theidentification of agents which modulate the interaction of CRLR with apolypeptide selected from the group consisting of:

-   -   i) a polypeptide, or variant thereof, encoded by a nucleic acid        molecule consisting of a nucleic acid sequence as represented by        FIG. 1, 2 or 3 (SEQ ID NO: 1, 3 or 5);    -   ii) a polypeptide encoded by a nucleic acid molecule which        hybridizes under stringent conditions to a nucleic acid molecule        as defined in (i) above and which modulates CRLR function; and    -   iii) a polypeptide comprising a nucleic acid which is degenerate        as a result of the genetic code to the nucleic acid sequence        defined in (i) and (ii).

According to a further aspect of the invention there is provided a kitcomprising a binding agent specifically reactive with a nucleic acidmolecule that encodes a polypeptide comprising an amino acid sequence asrepresented in FIG. 1, 2 or 3 (SEQ ID NO: 2, 4 or 6), or a fragment orvariant thereof as defined herein, or an agent specifically reactivewith a polypeptide comprising an amino acid sequence as represented inFIG. 1, 2 or 3 (SEQ ID NO: 2, 4 or 6), or a fragment or variant thereofas defined herein. In a preferred embodiment of the invention said kitfurther comprises an oligonucleotide or antibody specifically reactivewith said nucleic acid molecule or said polypeptide.

Preferably said kit comprises a thermostable DNA polymerase andcomponents required for conducting the amplification of nucleic acid.Preferably said kit includes a set of instructions for conducting saidpolymerase chain reaction and control nucleic acid.

In an alternative preferred embodiment of the invention said kitcomprises an antibody specifically reactive with a polypeptidecomprising an amino acid sequence as represented in FIG. 1, 2 or 3 (SEQID NO: 2, 4 or 6), or a fragment or variant thereof as defined herein.Preferably said kit comprises components required for conducting animmunoassay including, for example, a secondary antibody specificallyreactive with a primary antibody that specifically binds saidpolypeptide(s) and enzyme reagents required to detect the binding ofsaid secondary antibody with said primary antibody.

According to a further aspect of the invention there is provided amethod to screen for an agent that modulates the activity of apolypeptide encoded by a nucleic acid molecule selected from the groupconsisting of:

-   -   a) a nucleic acid molecule consisting of a nucleic acid sequence        as represented in FIG. 1, 2 or 3 (SEQ ID NO: 1, 3 or 5);    -   b) a nucleic acid molecule that hybridizes under stringent        hybridization conditions to the nucleic acid molecule in (a)        above and which modulates CRLR function,        wherein the method comprises:    -   i) forming a preparation comprising a polypeptide, or sequence        variant thereof, and at least one agent to be tested; and    -   ii) determining the activity of said agent with respect to the        activity of said polypeptide.

The amino acid sequences represented in FIGS. 4 to 6 (SEQ ID NO: 8, 10and 12), including FIGS. 7 to 9 (SEQ ID NO: 14, 16, 18, 20, 22, 24, 26,28, 30, 32, 34, 36, 37, 39, 41, 43, 45, 47, 49, 51, 53, 55, 57, 59, 61and 63) which correspond to RAMP extracellular domains (ECDs), can beused for the structure-based design of molecules which modulate CRLRfunction such as though the modulation of the association of RAMP toCRLR. Such “structure based design” is also known as “rational drugdesign”. The RAMP ECDs can be three-dimensionally analyzed by, forexample, X-ray crystallography, nuclear magnetic resonance or homologymodeling, all of which are well-known methods. The use of structuralinformation in molecular modeling software systems is also encompassedby the invention. Such computer-assisted modeling and drug design mayutilize information such as chemical conformational analysis,electrostatic potential of the molecules, protein folding etc. Oneparticular method of the invention may comprise analyzing thethree-dimensional structure of the RAMP ECD for likely binding sites oftargets, synthesizing a new molecule that incorporates a predictivereactive site, and assaying the new molecule as described above.

In a preferred method of the invention said agent is an antagonist.Agents identified by the screening method of the invention may include,antibodies, siRNA, aptamers, small organic molecules, (for examplepeptides, cyclic peptides), and dominant negative variants of thepolypeptides herein disclosed.

As mentioned above, the invention also provides, in certain embodiments,“dominant negative” polypeptides derived from the polypeptides hereindisclosed. A dominant negative polypeptide is an inactive variant of aprotein, which, by interacting with the cellular machinery, displaces anactive protein from its interaction with the cellular machinery orcompetes with the active protein, thereby reducing the effect of theactive protein. For example, a dominant negative receptor which binds aligand but does not transmit a signal in response to binding of theligand can reduce the biological effect of expression of the ligand.Likewise, a dominant negative catalytically-inactive kinase whichinteracts normally with target proteins but does not phosphorylate thetarget proteins can reduce phosphorylation of the target proteins inresponse to a cellular signal. Similarly, a dominant negativetranscription factor which binds to another transcription factor or to apromoter site in the control region of a gene but does not increase genetranscription can reduce the effect of a normal transcription factor byoccupying promoter binding sites without increasing transcription.

It will be apparent to one skilled in the art that modification to theamino acid sequence of peptides agents according to the presentdisclosure could enhance the binding and/or stability of the peptidewith respect to its target sequence. In addition, modification of thepeptide may also increase the in vivo stability of the peptide therebyreducing the effective amount of peptide necessary to inhibit theactivity of the polypeptides herein disclosed. This would advantageouslyreduce undesirable side effects which may result in vivo. Modificationsinclude, by example and not by way of limitation, acetylation andamidation. Alternatively or preferably, said modification includes theuse of modified amino acids in the production of recombinant orsynthetic forms of peptides. It will be apparent to one skilled in theart that modified amino acids include, for example, 4-hydroxyproline,5-hydroxylysine, N⁶-acetyllysine, N⁶-methyllysine, N⁶,N⁶-dimethyllysine,N⁶,N⁶,N⁶-trimethyllysine, cyclohexyalanine, D-amino acids, andornithine. Other modifications include amino acids with a C₂, C₃ or C₄alkyl R group optionally substituted by 1, 2 or 3 substituents selectedfrom halo (eg F, Br, I), hydroxy or C₁-C₄ alkoxy. It will also beapparent to one skilled in the art that peptides which retain p53binding activity could be modified by cyclisation. Cyclisation is knownin the art, (see Scott et al Chem Biol (2001), 8:801-815; Gellerman etal J. Peptide Res (2001), 57: 277-291; Dutta et al J. Peptide Res(2000), 8: 398-412; Ngoka and Gross J Amer Soc Mass Spec (1999),10:360-363.

In a yet further aspect, the invention provides the use of a polypeptidein the identification of agents which modulate CRLR function wherein thepolypeptide is selected from the group consisting of:

-   -   i) a polypeptide, or variant thereof, encoded by a nucleic acid        molecule consisting of a nucleic acid sequence as represented by        FIG. 1, 2 or 3 (SEQ ID NO: 1, 3 or 5);    -   ii) a polypeptide encoded by a nucleic acid molecule which        hybridizes under stringent conditions to a nucleic acid molecule        as defined in (i) above and which modulates CRLR function; and    -   iii) a polypeptide comprising a nucleic acid which is degenerate        as a result of the genetic code to the nucleic acid sequence        defined in (i) and (ii).

A yet further aspect of the invention provides the use of a CRLR in theidentification of agents which modulate the interaction of CRLR with apolypeptide selected from the group consisting of:

-   -   i) a polypeptide, or variant thereof, encoded by a nucleic acid        molecule consisting of a nucleic acid sequence as represented by        FIG. 1, 2 or 3;    -   ii) a polypeptide encoded by a nucleic acid molecule which        hybridizes under stringent conditions to a nucleic acid molecule        as defined in (i) above and which modulates CRLR function; and    -   iii) a polypeptide comprising a nucleic acid which is degenerate        as a result of the genetic code to the nucleic acid sequence        defined in (i) and (ii).

Pharmaceutical Methods, Uses and Products

In other aspects the invention provides an agent as hereinbeforedescribed for use as a pharmaceutical. In further aspects, there isprovided a pharmaceutical formulation comprising an agent ashereinbefore described. The formulation may contain at least oneadditional pharmaceutically acceptable component, e.g. an excipient,diluent or carrier. Preferably, the formulation is intended forparenteral administration. In a particular embodiment, the formulationcomprises an agent which is an antibody product, e.g. an antibody whichbinds to a RAMP-3 protein.

The extent of protection includes counterfeit or fraudulent productswhich contain or purport to contain an agent of the inventionirrespective of whether they do in fact contain such an agent andirrespective of whether any such agent is contained in a therapeuticallyeffective amount. Included in the scope of protection therefore arepackages which include a description or instructions which indicate thatthe package contains a species or pharmaceutical formulation of theinvention and a product which is or comprises, or purports to be orcomprise, such a formulation or species.

According to a further aspect of the invention there is provided apharmaceutical composition comprising an agent according to theinvention. In a preferred embodiment, the agent is an antibody,particularly an antibody which binds to a RAMP-3 protein.

Encompassed in the present disclosure is a composition comprising apolypeptide comprising an amino acid sequence as represented in FIG. 4,5 or 6 (SEQ ID NO: 8, 10 or 12), or a fragment thereof or a variantpolypeptide wherein said variant is modified by addition, deletion orsubstitution of at least one amino acid residue of the amino acidsequence presented in FIG. 4, 5 or 6 (SEQ ID NO: 8, 10 or 12) andwherein said variant polypeptide modulates CRLR function.

As used herein “a fragment of a polypeptide comprising the amino acidsequence as shown in FIG. 4, 5 or 6” includes fragments that containbetween 1 and 50 amino acids, for example between 1 and 30 amino acidssuch as between 10 and 30 amino acids. The fragment of a polypeptidecomprising the amino acid sequence as shown in FIG. 4, 5 or 6 (SEQ IDNO: 8, 10 or 12), may comprise an amino acid sequence as shown in FIG.7, 8 or 9 (SEQ ID NO: 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36,37, 39, 41, 43, 45, 47, 49, 51, 53, 55, 57, 59, 61 and 63) or a variantpolypeptide wherein said variant is modified by addition, deletion orsubstitution of at least one amino acid residue of an amino acidsequence presented in FIG. 7, 8 or 9 (SEQ ID NO: 14, 16, 18, 20, 22, 24,26, 28, 30, 32, 34, 36, 37, 39, 41, 43, 45, 47, 49, 51, 53, 55, 57, 59,61 and 63), wherein said polypeptide modulates CRLR function.

Also included in the present disclosure is a pharmaceutical compositioncomprising a nucleic acid molecule selected from the group consistingof:

-   -   i) a nucleic acid molecule comprising all or part of a nucleic        acid sequence as represented by FIG. 4, 5 or 6 (SEQ ID NO: 7, 9        or 11);    -   ii) a nucleic acid molecule that hybridizes under stringent        hybridization conditions to the nucleic acid molecule in (i)        above and which encodes a polypeptide wherein said polypeptide        modulates CRLR function,        for use as a vaccine.

The present disclosure also envisages a composition comprising a nucleicacid sequence as represented by FIG. 4, 7, 8 or 9.

In a preferred aspect of the invention said composition includes anadjuvant and/or a carrier.

An adjuvant is a substance or procedure that augments specific immuneresponses to antigens by modulating the activity of immune cells.Examples of adjuvants include, by example only, Freunds adjuvant,muramyl dipeptides, liposomes. A carrier is an immunogenic moleculewhich, when bound to a second molecule, augments immune responses to thelatter. Some antigens are not intrinsically immunogenic yet may becapable of generating antibody responses when associated with a foreignprotein molecule such as keyhole-limpet haemocyanin or tetanus toxoid.Such antigens contain B-cell epitopes but no T cell epitopes. Theprotein moiety of such a conjugate (the “carrier” protein) providesT-cell epitopes which stimulate helper T-cells that in turn stimulateantigen-specific B-cells to differentiate into plasma cells and produceantibody against the antigen. Helper T-cells can also stimulate otherimmune cells such as cytotoxic T-cells, and a carrier can fulfill ananalogous role in generating cell-mediated immunity as well asantibodies.

When administered, the pharmaceutical compositions and formulations ofthe present invention are administered in pharmaceutically acceptablepreparations. Such preparations may routinely contain pharmaceuticallyacceptable concentrations of salt, buffering agents, preservatives,compatible carriers, supplementary immune potentiating agents such asadjuvants and cytokines and optionally other therapeutic agents (forexample, cisplatin; carboplatin; cyclosphosphamide; melphalan;carmusline; methotrexate; 5-fluorouracil; cytarabine; mercaptopurine;daunorubicin; doxorubicin; epirubicin; vinblastine; vincristine;dactinomycin; mitomycin C; taxol; L-asparaginase; G-CSF; etoposide;colchicine; derferoxamine mesylate; and camptothecin.

The compositions and formulations of the invention can be administeredby any conventional route, including injection or by gradual infusionover time. The administration may, for example, be oral, intravenous,intraperitoneal, intramuscular, intracavity, subcutaneous, ortransdermal. When antibodies are used therapeutically, a one particularroute of administration is by pulmonary aerosol. Techniques forpreparing aerosol delivery systems containing antibodies are well knownto those of skill in the art. Generally, such systems should utilizecomponents which will not significantly impair the biological propertiesof the antibodies, such as the paratope binding capacity (see, forexample, Sciarra and Cutie, “Aerosols,” in Remington's PharmaceuticalSciences, 18th edition, 1990, pp 1694-1712; incorporated by reference).Those of skill in the art can readily determine the various parametersand conditions for producing antibody aerosols without resort to undueexperimentation.

The compositions and formulations of the invention are typicallyadministered in effective amounts. An “effective amount” is that amountof a composition that alone, or together with further doses, producesthe desired response. In the case of treating a particular disease, suchas cancer, the desired response is inhibiting the progression of thedisease. This may involve only slowing the progression of the diseasetemporarily, although more preferably, it involves halting theprogression of the disease permanently. This can be monitored by routinemethods or can be monitored according to diagnostic methods of theinvention discussed herein.

The doses of the agent administered to a subject can be chosen inaccordance with different parameters, in particular in accordance withthe mode of administration used and the state of the subject. Otherfactors include the desired period of treatment. In the event that aresponse in a subject is insufficient at the initial doses applied,higher doses (or effectively higher doses by a different, more localizeddelivery route) may be employed to the extent that patient tolerancepermits.

In general, doses of antibody are formulated and administered in dosesbetween about 1 ng and about 1 mg, and preferably between 10 ng and 100μg, according to any standard procedure in the art. Where nucleic acidsor variants thereof are employed, doses of between 1 ng and 0.1 mggenerally will be formulated and administered according to standardprocedures. Other protocols for the administration of the compositionswill be known to one of ordinary skill in the art, in which the doseamount, schedule of injections, sites of injections, mode ofadministration (e.g., intra-bone) and the like vary from the foregoing.Administration of the compositions to mammals other than humans, (e.g.for testing purposes or veterinary therapeutic purposes), is carried outunder substantially the same conditions as described above. A subject,as used herein, is a mammal, preferably a human, and including anon-human primate, cow, horse, pig, sheep, goat, dog, cat or rodent.

When administered, the pharmaceutical preparations and formulations ofthe invention are applied in pharmaceutically-acceptable amounts and inpharmaceutically-acceptable compositions. The term “pharmaceuticallyacceptable” means a non-toxic material that does not interfere with theeffectiveness of the biological activity of the active ingredients. Suchpreparations may routinely contain salts, buffering agents,preservatives, compatible carriers, and optionally other therapeuticagents. When used in medicine, the salts should be pharmaceuticallyacceptable, but non-pharmaceutically acceptable salts may convenientlybe used to prepare pharmaceutically-acceptable salts thereof and are notexcluded from the scope of the invention. Such pharmacologically andpharmaceutically-acceptable salts include, but are not limited to, thoseprepared from the following acids: hydrochloric, hydrobromic, sulfuric,nitric, phosphoric, maleic, acetic, salicylic, citric, formic, malonic,succinic, and the like. Also, pharmaceutically-acceptable salts can beprepared as alkaline metal or alkaline earth salts, such as sodium,potassium or calcium salts.

Pharmaceutical compositions and formulations may be comprise if desired,with a pharmaceutically-acceptable carrier. The term“pharmaceutically-acceptable carrier” as used herein means one or morecompatible solid or liquid fillers, diluents or encapsulating substanceswhich are suitable for administration into a human. The term “carrier”denotes an organic or inorganic ingredient, natural or synthetic, withwhich the active ingredient is combined to facilitate the application.The components of the pharmaceutical compositions also are capable ofbeing co-mingled with the molecules of the present invention, and witheach other, in a manner such that there is no interaction which wouldsubstantially impair the desired pharmaceutical efficacy.

The pharmaceutical compositions and formulations may contain suitablebuffering agents, including: acetic acid in a salt; citric acid in asalt; boric acid in a salt; and phosphoric acid in a salt. Thepharmaceutical compositions and formulations also may contain,optionally, suitable preservatives, such as: benzalkonium chloride;chlorobutanol; parabens and thimerosal.

Compositions suitable for oral administration may be presented asdiscrete units, such as capsules, tablets, lozenges, each containing apredetermined amount of the active compound. Other compositions includesuspensions in aqueous liquids or non-aqueous liquids such as syrup,elixir or an emulsion.

Compositions suitable for parenteral administration convenientlycomprise a sterile aqueous or non-aqueous preparation of antibody ornucleic acids, which is preferably isotonic with the blood of therecipient. This preparation may be formulated according to known methodsusing suitable dispersing or wetting agents and suspending agents. Thesterile injectable preparation also may be a sterile injectable solutionor suspension in a non-toxic parenterally-acceptable diluent or solvent,for example, as a solution in 1,3-butane diol. Among the acceptablevehicles and solvents that may be employed are water, Ringer's solution,and isotonic sodium chloride solution. In addition, sterile, fixed oilsare conventionally employed as a solvent or suspending medium. For thispurpose any bland fixed oil may be employed including synthetic mono-ordi-glycerides. In addition, fatty acids such as oleic acid may be usedin the preparation of injectables. Carrier formulation suitable fororal, subcutaneous, intravenous, intramuscular, etc. administrations canbe found in Remington's Pharmaceutical Sciences, Mack Publishing Co.,Easton, Pa.

A further aspect of the invention provides an agent or composition asdefined herein for use as a medicament. A preferred agent for use as apharmaceutical is an antibody product e.g. an antibody or antibodyfragment. A particular agent is an antibody product which binds toRAMP-3. Particularly, the antibody product binds to a human RAMP-3protein.

In an aspect of the present invention, the agents of the presentdisclosure may be used to treat cancer. According to a further aspect ofthe invention there is provided a method to treat cancer in a subjectcomprising administering an effective amount of an agent according tothe invention. In a preferred method of the invention said subject ishuman.

According to a further aspect of the invention there is provided amethod to immunise an animal against cancer comprising administering aneffective amount of a composition according to the invention. In apreferred method of the invention said animal is a human.

As used herein, the term “cancer” refers to cells having the capacityfor autonomous growth, i.e., an abnormal state or conditioncharacterized by rapidly proliferating cell growth. The term is meant toinclude all types of cancerous growths or oncogenic processes,metastatic tissues or malignantly transformed cells, tissues, or organs,irrespective of histopathologic type or stage of invasiveness. The term“cancer” includes malignancies of the various organ systems, such asthose affecting, for example, lung, breast, thyroid, lymphoid,gastrointestinal, and genito-urinary tract, as well as adenocarcinomaswhich include malignancies such as most colon cancers, renal-cellcarcinoma, prostate cancer and/or testicular tumors, non-small cellcarcinoma of the lung, cancer of the small intestine and cancer of theesophagus. The term “carcinoma” is art recognized and refers tomalignancies of epithelial or endocrine tissues including respiratorysystem carcinomas, gastrointestinal system carcinomas, genitourinarysystem carcinomas, testicular carcinomas, breast carcinomas, prostaticcarcinomas, endocrine system carcinomas, and melanomas. Exemplarycarcinomas include those forming from tissue of the cervix, lung,prostate, breast, head and neck, colon and ovary.

The term “carcinoma” also includes carcinosarcomas, e.g., which includemalignant tumours composed of carcinomatous and sarcomatous tissues. An“adenocarcinoma” refers to a carcinoma derived from glandular tissue orin which the tumor cells form recognizable glandular structures. Theterm “sarcoma” is art recognized and refers to malignant tumors ofmesenchymal derivation. Further types of cancer include leukemia, skin,intracranial and brain cancer.

The specific activities of AM in cancer pathobiology fall into fiveareas of action namely stimulation of cancer cell proliferation,indirect suppression of immune response, promotion of angiogenesis,encouragement of aggressive tumor phenotype and apoptosis survivalfactor.

Thus, an agent or composition according to the invention may be usefulin the treatment, retardation and/or prevention of a cancerous conditionthrough, for example, the inhibition of angiogenesis or cancer cellproliferation.

A pharmaceutical formulation comprising the agent of the presentdisclosure may be administered in combination, either sequentially or ata substantially similar time as a chemotherapeutic agent.

In one aspect of the present invention, the agent of the presentinvention, and/or a composition or formulation comprising the agent maybe used to treat osteoporosis. Thus, according to an aspect of theinvention there is provided a method to treat osteoporosis in a subjectcomprising administering an effective amount of an agent according tothe invention. In a preferred method of the invention said subject ishuman.

In a further aspect of the present invention, the agent of the presentinvention, and/or a composition or formulation comprising the agent maybe used to treat e.g. reduce a level of obesity. The agent may also beused for the manufacture of a medicament for the treatment of obesity.Thus, according to an aspect of the invention there is provided a methodto treat obesity in a subject comprising administering an effectiveamount of an agent according to the invention. In a preferred method ofthe invention said subject is human.

Also included as an aspect of the present invention is a use of an agentas described herein for the manufacture of a medicament to treat orreduce angiopathy, e.g. angiopathy selected from diabetic angiopathy,microangiopathy and macroangiopathy. A method of treating angiopathye.g. diabetic angiopathy comprising administering an agent of thepresent invention to a subject is included as an aspect of the presentinvention.

In a further aspect of the present invention, the agent of the presentinvention, and/or a composition or formulation comprising the agent maybe used to treat an inflammatory disorder and/or inflammatory response.Thus, according to a further aspect of the invention there is provided amethod to treat an inflammatory disorder in a subject comprisingadministering an effective amount of an agent according to theinvention. In a preferred method of the invention said subject is human.

The inflammatory disorder may be selected from the group consisting ofatherosclerosis, rheumatoid arthritis, osteoarthritis, gout, lupuserythematosus, scleroderma, Sjorgen's syndrome, poly- anddermatomyositis, vasculitis, tendonitis, synovitis, bacterialendocarditis, osteomyelitis, psoriasis, pneumonia, fibrosing alveolitis,chronic bronchitis, bronchiectasis, emphysema, silicosis,pneumoconiosis, tuberculosis, ulcerative colitis, Crohn's disease,chronic inflammatory demyelinating polyradiculoneuropathy, chronicinflammatory demyelinating polyneuropathy, multiple sclerosis,Guillan-Barre Syndrome and myasthemia gravis, mastitis, laminitis,laryngitis, chronic cholecystitis, Hashimoto's thyroiditis, andinflammatory breast disease. In an embodiment, the inflammatory disordermay be the result of tissue or organ rejection after transplantation. Inparticular embodiments, the inflammatory disorder is selected from thegroup consisting of atherosclerosis, rheumatoid arthritis,osteoarthritis, sepsis and polyarthritis.

In embodiments, the patient suffered, or is at risk or suspicion ofhaving suffered, a disorder selected from the group consisting ofthrombosis, myocardial infarction, stroke, transient ischemic attack,occlusive peripheral vascular disease, occlusion of a peripheral arteryand complications thereof as a result of an inflammatory disease suchas, for example, atherosclerosis.

The specification discloses also the local administration to an actualor suspected site of an atherosclerotic disorder of an agent accordingto the present invention. Such administration may be useful in thetreatment of a patient suffering from, or suspected to be sufferingfrom, an atherosclerotic disorder, e.g. an atherosclerotic plaque whichmay be ruptured. The administration may be via a catheter.

The agent of the present invention may be used to treat heart failure.Also provided is a use of an agent as described herein for themanufacture of a medicament to treat heart failure.

In a further aspect of the present invention, the agent of the presentinvention, and/or a composition or formulation comprising the agent maybe used to treat sepsis. The agent may also be used for the manufactureof a medicament for the treatment of sepsis. Thus, according to anaspect of the invention there is provided a method to treat sepsis in asubject comprising administering an effective amount of an agentaccording to the invention. In a preferred method of the invention saidsubject is human.

In an embodiment of the present invention, the agent may be useful intreating a wound, that is to say useful in aiding wound healing. Afurther aspect of the invention provides a method to treat a wound in asubject comprising administering an effective amount of an agentaccording to the invention. In a preferred method of the invention saidsubject is human. Also provided is a use of an agent according to theinvention for the manufacture of a medicament to treat a wound.

As used herein, treatment of a “wound” includes, inter alia, treatmentof ulcers and lesions for example, cutaneous wounds such cuts or burns,and conditions associated therewith.

As used herein, “treatment” refers to clinical intervention in anattempt to alter the natural course of the individual or cell beingtreated, and may be performed either for prophylaxis or during thecourse of clinical pathology. Desirable effects include preventingoccurrence or recurrence of disease, alleviation of symptoms,diminishment of any direct or indirect pathological consequences of thedisease, lowering the rate of disease progression, amelioration orpalliation of the disease state, and remission or improved prognosis.The term, “treatment” as used herein is intended to include thetreatment and prevention of the indicated conditions/disorders

There is further provided a package or kit of parts comprising:

(1) an agent described herein; together with

(2) instructions to use the agent in a method described herein.

The package defined herein may comprise more than one dosage unit, inorder to provide for repeat dosing. If more than one dosage unit ispresent, such units may be the same, or may be different in terms of thedose of active agent composition and/or physical form.

Throughout the description and claims of this specification, the words“comprise” and “contain” and variations of the words, for example“comprising” and “comprises”, means “including but not limited to”, andis not intended to (and does not) exclude other moieties, additives,components, integers or steps.

Throughout the description and claims of this specification, thesingular encompasses the plural unless the context otherwise requires.In particular, where the indefinite article is used, the specificationis to be understood as contemplating plurality as well as singularity,unless the context requires otherwise.

Features, integers, characteristics, compounds, chemical moieties orgroups described in conjunction with a particular aspect, embodiment orexample of the invention are to be understood to be applicable to anyother aspect, embodiment or example described herein unless incompatibletherewith.

BRIEF DESCRIPTION OF THE DRAWINGS

An embodiment of the invention will now be described by way of exampleonly and with reference to the following Figures and Materials andMethods;

FIG. 1 shows the DNA sequence of RAMP 1 (top) (SEQ ID NO: 1); and theamino acid sequence encoded by the DNA sequence (bottom) (SEQ ID NO: 2);

FIG. 2 shows the DNA sequence of RAMP 2 (top) (SEQ ID NO: 3); and theamino acid sequence encoded by the DNA sequence (bottom) (SEQ ID NO: 4);

FIG. 3 shows the DNA sequence of RAMP 3 (top) (SEQ ID NO: 5); and theamino acid sequence encoded by the DNA sequence (bottom) (SEQ ID NO: 6);

FIG. 4 shows the DNA sequence corresponding to a region of theextracellular domain (ECD) of RAMP 1 (top) (SEQ ID NO: 7); and the aminoacid sequence encoded by the DNA sequence (bottom) (SEQ ID NO: 8);

FIG. 5 shows the DNA sequence corresponding to a region of theextracellular domain (ECD) of RAMP 2 (top) (SEQ ID NO: 9); and the aminoacid sequence encoded by the DNA sequence (bottom) (SEQ ID NO: 10);

FIG. 6 shows the DNA sequence corresponding to a region of theextracellular domain (ECD) of RAMP 3 (top) (SEQ ID NO: 11); and theamino acid sequence encoded by the DNA sequence (bottom) (SEQ ID NO:12);

FIG. 7A-H show DNA sequences corresponding to truncated regions of theN-terminal end of the extracellular domain (ECD) of RAMP 1 (top) (SEQ IDNO: 13, 14, 15, 16, 17, 18, 19, and 20); and the amino acid sequencesencoded by the DNA sequences (bottom) (SEQ ID NO: 21, 22, 23, 24, 25,26, 27 and 28): Fragment lengths are shown in bold;

FIG. 8A-J show DNA sequences corresponding to truncated regions of theN-terminal end of the extracellular domain (ECD) of RAMP 2 (top) (SEQ IDNO: 29, 30, 31, 32, 33, 34, 35, 36 and 37); and the amino acid sequencesencoded by the DNA sequences (bottom) (SEQ ID NO: 38, 39, 40, 41, 42,43, 44, 45, 46 and 47): Fragment lengths are shown in bold;

FIG. 9A-H show DNA sequences corresponding to truncated regions of theN-terminal end of the extracellular domain (ECD) of RAMP 3 (top) (SEQ IDNO: 48, 49, 50, 51, 52, 53, 54, and 55); and the amino acid sequencesencoded by the DNA sequences (bottom) (SEQ ID NO: 56, 57, 58, 59, 60,61, 62 and 63): Fragment lengths are shown in bold;

FIG. 10 shows the DNA (top) (SEQ ID NO: 64) and amino acid (bottom)sequence of CRLR (SEQ ID NO: 65)

FIG. 11 shows ELISA data for mouse anti-RAMP 3 polyclonal antibodies.

FIG. 12: Polyclonal anti-RAMP-3 antibodies were tested for their abilityto regulate the effect of adrenomedullin to increase cyclic AMP in humanMG63 osteosarcoma cells. All antibodies reduced the effect ofadrenomedullin,

FIG. 13: Monoclonal anti-RAMP-3 antibodies were tested for their abilityto induce inhibition of proliferation (based on the MTT assay ofmitochondrial succinate dehydrogense, which maps to proliferation) Theconcentration of 1:50 equates to about 5 ng per well finalconcentration.

FIG. 14 is a Western Blot of polyclonal antibodies from mouse 1

FIG. 15 is a Western Blot of polyclonal antibodies from mouse 2

FIG. 16 is a Western Blot of polyclonal antibodies from mouse 3

DETAILED DESCRIPTION EXAMPLES Generation of the RAMP Extra CellularDomain (ECD) Protein

The ECD regions of the RAMP were generated using a high fidelity PCRreaction using KOD Hot Start DNA Polymerase kit from Novagen Toyobo. Thetemplate DNA was obtained from a purchased sample of human brain cDNA(Ambion).

For each 50 μl reaction, the following were placed in a 0.5 ml PCR tubeat room temperature or on ice:

27.5 μl PCR Grade H₂O 2.5 μl DMSO 5 μl 10X PCR Buffer for KOD Hot StartDNA Polymerase 5 μl dNTPs (final concentration 0.2 mM) 2 μl MgSO₄ (finalconcentration 1 mM) 1 μl Template DNA 3 μl 5′ primer (5 pmol/μl, finalconcentration 0.3 μM) 3 μl 3′ primer (5 pmol/μl, final concentration 0.3μM) 1 μl KOD Hot Start DNA Polymerase (1 U/μl) 50 μl Total volume

This reaction was carried out twice: the first reaction was carried outto isolate a region larger than the whole RAMP ECD using the followingprimers:

RAMP1 Forward CGAGCGGACTCGACTCGGCAC (SEQ ID NO: 73) ReverseCTTCCTAGGGTGGCGGTGGCC (SEQ ID NO: 74) RAMP2 ForwardGTC CGC CTC CTC CTT CT GCT (SEQ ID NO: 75) ReverseAAG TGG AGT AAC ATG GTT ATT GT (SEQ ID NO: 76) RAMP3 ForwardAGC CAT GGA GAC TGG AGC GCT GC (SEQ ID NO: 77) ReverseGTG GCC CAG TAG CTG GAG ATT GGC (SEQ ID NO: 78)

The reaction is purified using the QIAGEN QiAquick PCR purification kitstandard protocol using a bench top centrifuge.

The second PCR reaction uses the products from the reaction using theprimers above. Using the primers below. These primers have had EcoR1 andBamH1 restriction sites incorporated into them:

RAMP1 Forward (SEQ ID NO: 79) GCGAATTCCTGCCAGACCACCAG Reverse(SEQ ID NO: 80) GTGGATCCTACCGGGCCCGGGACA RAMP2 Forward (SEQ ID NO: 81)GCG AAT TCA ATC CCC ACG AGG CCC TGG CTC AGC C Reverse (SEQ ID NO: 82)CAG GAT CCTACA AGA GTG ATG AGG AAG GGG ATG RAMP3 Forward (SEQ ID NO: 83)CAG AATT TCC AGA GCA GGC CGC TGC AAC CAG ACA G Reverse (SEQ ID NO: 84)GTG GAT CCC ACC ACC AGG CCA GCC ATG GCG ACA GT

The samples from this reaction are purified using QIAGEN QiAquick PCRpurification kit using a bench top centrifuge.

To initially screen the products for size, they are run on a 1.5%agarose gel containing 1.5% ethidium bromide run at 200V for 30 minutes.The products are compared against a standard marker available fromSigma.

Genomic sequencing of the product is performed to test the productconclusively. The ECD protein from this point onwards will be referredto as “the insert” unless stated otherwise.

Preparation of the Insert and Vector

1. Restriction

(These quantities are based on DNA concentration of 1 μg)

The restriction reaction was performed on both the insert and Vector(pGEX-6P1) using the following protocol.

1 μl DNA 2 μl 10xBufferE 2 μl 10XBSA 1 μl BamH-1 1 μl EcoR-1 13 μl DNase free H₂O 20 μl  Total Volume

This reaction is either incubated at 37° C. for 1 hr or 16° C.overnight. The samples from this reaction were purified using QIAGENQiAquick PCR purification kit using a bench top centrifuge standardprotocol.

2. Vector Dephosphorylation

These quantities are based on DNA concentration of 1 μg

1 μl DNA 1 μl 10xAntarctic Phosphatase Reaction Buffer 1 μl AntarcticPhosphatase 7 μl DNase free H₂O 10 μl  Total Volume

Incubated at 37° C. for 1 hr.

3. Ligation (Plasmid+Insert)

These quantities are based on DNA concentration of 1 μg

1 μl Vector 1 μl Insert DNA 5 μl x2 Ligation Buffer 1 μl T4 Ligase 2 μlDNase free H₂O 10 μl  Total Volume

Incubate at 16° C. overnight.

Transformation

The total volume from the ligation reaction was used in the below steps:

10 μl DNA 10 μl X10 Transformation Buffer 100 μl  E-Coli (TOP10)competent cells 70 μl DNase free H₂O 200 μl  Total Volume

X10 Transformation Buffer. (300 mM MgCl₂, 100 mM CaCl₂)

6.5 ml Distilled water 0.5 ml 2M CaCl₂ 3.0 ml 1M MgCl₂  10 ml TotalVolume

1. Place on ice for 20 minutes.

2. Place at room temperature 10 minutes

3. Add lml of LB Broth Base (LENNOX L Broth Base)

4. Incubate at 37° C. for 1 hour.

5. Spread Sample over LB Agar plates containing 10 μg/ml Ampicillin.

6. Incubate at 37° C. overnight.

Culture

Colonies from plates are picked and placed into 5 ml LB Broth Base(LENNOX L Broth Base) containing 10 μg/ml Ampicillin, then placed inshaking incubator overnight at 37° C.

The culture is cleaned up using QIAprep Spin Miniprpep Kit (Qiagen)standard protocol using table top centrifuge. To ensure thattransformation has occurred efficiently, genomic sequencing is carriedout on a sample of the plasmid.

Protein Expression

The following protocol was followed for protein expression:

Transformation  1 μl DNA (1~10 ng)  10 μl X10 Transformation Buffer 100μl E-Coli (BL21) Competent cells  89 μl Distilled H₂O 200 μl TotalVolume

1. Place on ice for 20 minutes.

2. Place at room temperature 10 minutes

3. Add lml of LB Broth Base (LENNOX L Broth Base)

4. Incubate at 37° C. for 1 hour.

5. Spread Sample over LB Agar plates containing 10 μg/ml Ampicillin.

Incubated at 37° C. overnight.

The following protocol was used to culture the cells:

Culture

Pick colonies and place into 5 ml 2×YTA medium (10 μg/ml Ampicillin).

2xYTA Medium 16 g Tryptone 10 g Yeast Extract 5 g NaCl 900 ml DistilledH₂O

The pH7 is adjusted with NaOH. The total volume is adjusted to 1 L withdistilled H₂O and sterilised by autoclaving. Ampicillin concentration of10 μg/ml is added. The following protocol steps were followed:

-   -   1. Incubate at 37° C. in shaking incubator for 2 hours.    -   2. Add 150 μl 100 mM IPTG to the culture.    -   3. Incubate at 37° C. in shaking incubator for an addition 4-8        hours

Protein Extraction

The protein was extracted using the Bug Buster Protein ExtractionReagent (Novagen) using the standard protocols. This includes theaddition stage of the addition of protease inhibitors. Both the solubleand insoluble fraction were kept and analysed.

Conformation of Protein

This process is carried out using Western blotting, using Anti-GSTantibody (Amersham Biosciences). The Western blots are carried out asstated in the Anti-GST antibody protocol.

Protein Purification

Large scale protein production is performed at 2L cultures.

The protein is purified using the Glutathione S-transferase (GST) genefusion system. GST occurs naturally at a M_(r) 26,000 that can beexpressed in E. coli with full enzymatic activity. GST fusion proteinsare purified from bacterial lysates by affinity chromatography usingimmobilized glutathione. GST fusion proteins are captured by theaffinity medium, and impurities are removed by washing. Fusion proteinsare eluted under mild, non-denaturing conditions using reducedglutathione. GSTrap HP 5 ml columns (Amersham Biosciences) are used topurify the samples.

The purification process preserves protein antigenicity and function.Once eluted the GST can be cleaved from the protein using site specificprotease. This process will be carried out as stated in the GST genefusion system hand book (Amersham Biosciences).

The above purification methods are also supplemented by a process offractionation purification. Once the protein has been purified aconjugated form of the peptide is sent to be used in the generation ofmonoclonal antibodies The remaining the protein solution is treated withspecific proteases to remove the GST tag.

Functional Tests ECD protein

MG63 human osteoblast-like cells will be manipulated by siRNA to producevarious RAMP cell phenotypes:

-   -   RAMP 1, 2 and 3 negative cells, CRLR positive cells (Line 1).    -   RAMP 2 and 3 negative cells, RAMP 1 and CRLR positive cells        (Line 2).    -   RAMP 1 and 3 negative cells, RAMP 2 and CRLR positive cells        (Line 3).    -   RAMP 1 and 2 negative cells, RAMP 3 and CRLR positive cells        (Line 4).

RAMP1: TGGCCCATCACCTCTTCATGA (Qiagen) CTGGCTGCTCCTGGCCCATCA (Qiagen)TCCTGGCCCATCACCTCTTCA (Qiagen)

Due to the nature of the RAMP1 gene no one siRNA appears to beconclusively so several siRNA will be tested.

RAMP2: CUAUGAGACAGCUGUCCAA (MWG) RAMP3: GUUCUUCUCCAACUGCACC (MWG)

The transfection of the siRNA will be carried out using the HiPerFectTransfection Kit (Qiagen) standard protocol as stated in the handbook.

Function Test 1

The first experiment will be to determine whether the ECD fragments areable to engender a RAMP phenotype on a RAMP naïve cell (Line 1)

-   -   Culture (50 μl volumes) in solid, black 96-well microplates        (Corning) with cell concentrations of between 10⁴ and 10⁶        cells/ml    -   Incubate at 37° C. overnight (5% CO₂ AND 95% humidity) aspirate        the cell culture media.    -   Add 50 μl volume of ECD or agonist made up in PBS and exposed        for 5 minutes.        -   Dose responses for ECD will be carried out to determine            effective concentrations.        -   Dose responses for agonist (adrenomedullin AM, calcitonin            gene related peptide CGRP) will also be carried out to            determine whether a response can be elicited from the            agonist.    -   On addition of both ECD and agonist individually cAMP response        will be measured using cAMP Fluorescence Polarization (FP)        Biotrak Immunoassay (Amersham Biosciences)    -   A dose of ECD and the corresponding agonist will be applied in        combination (e.g. RAMP1 and CGRP) and second messenger will be        measured (as above).

Function Test 2

This experiment will determine the ability of RAMP ECD to redefine apredefined RAMP cell phenotype e.g. convert a RAMP1 type cell to a RAMP2type cell (Lines 2, 3 and 4)

-   -   A dose response curve will be carried out using the ligand        associated with the RAMP. Second messenger responses will be        measured. EC₅₀ concentration determined.    -   ECD dose response curve will be created all in the presence of        the EC₅₀ concentration of the ligand in question. Second        messenger response will be measured.    -   Should a reduction in second messenger be seen in response to        that ligand the corresponding ligand to the ECD will be applied        and second messenger response will be measured.

These two initial experiments will help determine whether ECD regionshave biological activity

Antibody Generation.

The ECD peptides were expressed as described above and then purified.Antibodies were generated using the following protocol.

Mouse and Rate Immunization Protocol.

The following immunization protocol was followed to raise antibodiesagainst the extracellular domain of RAMP-3:

Pre-immune serum was taken from the mice prior to immunisation. Fourmice were injected with a peptide corresponding to an extracellulardomain of RAMP-3:

(see also FIG. 6; SEQ ID NO: 12)    10      20     30     40   50    60GCPRAGGCNE TGMLERLPLC GKAFADMMGK VDVWKWCNLS                          70     80     90 EFIVYYESFT NCTEMEANVV GCYWPNPLAQ GFITGIHRQF   99 FSNCTVDRVH LEDPPDEVL

Injections were boosted with 4 further injections, at approximatelymonthly intervals. Sample bleeds from the mice were taken to isolateserum containing polyclonal antibodies.

The adjuvant used was Freunds (complete for the first injection,followed by incomplete for the rest of the course.)

Antigen and adjuvant are normally mixed on site just prior to injection.Ideally, enough antigen should be supplied at the start to complete thecourse, although this may not always be necessary. Up to 20% of theantigen may be lost at the time of mixing, which should be allowed for.The total volume that can be injected into rodents is 0.2 ml (andpreferably no more than 0.1 ml for mice). Half of this will be antigenand half adjuvant therefore the antigen should be of sufficientconcentration to provide the required number of milligrams in a maximumof 0.1 ml or 0.05 ml injected.

Rabbit Immunization Protocol.

Pre-immune serum can be taken if required. Rabbits are normally injectedat four week intervals. No less than two weeks and no more than eightweeks can elapse between injections. A maximum of five injections can begiven altogether, and the procedure should ideally be complete withinsix months. A blood sample is normally taken after the third injectionto assess immune status.

At the end of the procedure, the rabbits are normally sacrificed andbled out for serum. Alternatively, the animals can be bled to themaximum allowed and then released. The commonest adjuvant used isFreunds (complete for the first injection, followed by incomplete forthe rest of the course). If preferred, a less irritating adjuvant (ornone at all) can be used instead.

Antigen and adjuvant are normally mixed on site just prior to injection.Ideally enough antigens for at least four injections (and preferablyfive) should be supplied at the beginning of the procedure. Up to 20% ofthe antigen may be lost at the time of mixing, which should be allowedfor. Typically a total volume of no more than 0.5 ml is injected intoeach animal on each occasion. Half of this will be antigen and halfadjuvant. Therefore the antigen should be of sufficient concentration toprovide the required number of milligrams in a maximum of 0.25 mlinjected.

Western Blot Protocol

Western blots of the antibodies were used to probe blots of the originalECD peptide of FIG. 6 run in duplicate lanes with a size marker.Antibody 1 and 2 show clear binding to the protein bands at the expectedsize of 14 KDa. Antibody 3 shows very strong binding at the same size,while AB4 was not detectable in this experiment.

Protein Preparation. (Based on the Protein Extraction Yield (asDetermined by Bradford Assay))

The protein used was the RAMP ECD. 10 ul of Laemlli buffer was added toa micro tube. DTT was added (5% of total volume). A protein samplevolume that contained 100-150 μg of protein to the tube was added withthe other reagents. The micro tubes were then heated at 70 degreesCelsius for 2 minutes, then placed on ice.

Separation

A 15% Acrylamide gels 15% were used.

A running buffer was produced according to the following recipe:

Running Buffer:

Tris Base 60.55

glycine 288.27 g

SDS 20 gdH2O—complete up to 2 liters

The gels were placed into electrode house place in tank and submergedwith running buffer.

The gels were then allowed to stand for 20 minutes. The samples wereloaded in lanes and the gel run at 200v for 40 minutes.

Transfer

Filter paper (typical chromatography paper) was in approximately 7×20 cmpieces and vPVDF membrane was cut to 7×20 cm. The PVDF membrane waspre-wet using 100% methanol for 10 seconds and immersed in dH2O. Thefilter pads were soaked in transfer buffer which comprised thefollowing:

Transfer Buffer

Trisbase 12.11 g

Glycine 57.65 g

Methanol—100 ml

dH2O—complete up to 4 liters

The membrane sandwich was assembled according to the kit instructions.The sandwich was placed into the transfer assembly and the transfer tankwas filed with transfer buffer. The cooling block was removed fromstorage at −20 degrees Celsius; and placed into the transfer apparatus.The gel was run at 100 V for 1 hour.

Probing the PDVF

The blots were blocked in 5% Milk for 1 hour. The anti-RAMP-3 ECDantibodies were diluted 1:00 5% milk and incubated overnight with theblot before being washed in PBS 5% Tween-20 3×5 min. Secondary antibodyHRP Anti-Mouse diluted 1:1000 in 5% milk was added and incubated for 1hour. A further washing in PBS 5% Tween-20 3×5 min followed by washingwith water 3×5 min was carried out.

To image the blots, ECL solution was added to the blots make surethrough soaking both sides. (ECL available from Santa Cruz). The blotswere revealed using photographic film from Amersham Biosciences.

Antibody Blocking Potential.

To test the ability of the antibodies to bind to RAMP assays werecarried out to determine the antibodies' blocking potential:

-   -   Human MG63 osteosarcoma cells were treated with 10 pmol of AM        and the cAMP response measured (method as stated above e.g.        using cAMP Fluorescence Polarization (FP) Biotrak Immunoassay        (Amersham Biosciences)). (If RAMP-1 agents are being tested,        this assay can also be carried out using CGRP as a ligand to        test the agent's blocking ability)    -   The cells were pre-treated with the antibody for 1 hr    -   An EC₅₀ dose of AM was applied (10 pmol) was applied and cAMP        response was measured.

The polyclonals were used to test their ability to regulate the effectof adrenomedullin to increase cyclic AMP in human MG63 osteosarcomacells. All polyclonal antibodies tested reduced the effect ofadrenomedullin on cAMP production. The results shown in FIG. 12 indicatethat the polyclonal antibodies raised against RAMP-3 inhibited cAMPproduction of the MG63 cells by at least 15%.

Monoclonal Antibody Production

Although antibody 4 gave highest inhibition, because it was not seen onthe western blot and because the binding curve of AB3 was much strongerat low dilutions, monoclonal antibodies were produced using the 3^(rd)mouse. The methods used to produce the monoclonal antibodies aredisclosed by Kohler and Milstein in Nature 256, 495-497 (1975) and alsoby Donillard and Hoffman, “Basic Facts about Hybridomas” in Compendiumof Immunology V.II ed. by Schwartz, 1981, which are incorporated byreference.

Screening of the clones was carried out and from approximately 1000clones, 576 were selected on the basis of not binding to the GST tag onthe peptide. Of these clones, ELISA data was obtained and the best 5were selected for further work.

Antibody Function

The five monoclonal antibodies were tested for their effect on AMfunction. The proliferation/survival of SW-13 cells was determined usingthe MTT assay (see www.lgcpromochem-atcc.com for details on the assay).The following protocol was used:

Culture Media

DMEM

20% FCS

5% antibiotic/mitotic

5% sodium pyruvate

The cells were plated at 1×10⁶ in 96 well plates using 50 ul of media ineach well. SW-13 cells (human adrenal cortical adrenocarcinoma cellline) were used in this method. The antibodies are applied in a 1:50dilution in each well and incubated over night.

10 ul MTT Reagent was added to each well and then incubated for betweenabout 2 to 4 hours until purple precipitate is visible. 100 ul DetergentReagent was added to lyse the cells and solubilise the precipitate andthen left at room temperature in the dark for 2 hours. The absorbancewas recorded at 570 nm using an ELISA plate reader.

Each monoclonal antibody produced induced inhibition of proliferationranging from 12-45% see FIG. 13. (The concentration of 1:50 equates toabout 5 nanogrammes per well final concentration).

1. An agent which is capable of binding to and or modulating an effectof a calcitonin receptor-like receptor (CRLR) of one or more RAMPproteins (Receptor Activity Modifying Protein) selected from (i) aRAMP-3, (ii) a RAMP-2 and (iii) a RAMP-1 protein.
 2. An agent accordingto claim 1 which binds to an extracellular domain of a RAMP protein. 3.An agent according to claim 1 which specifically binds to theextracellular domain of a RAMP-3 protein.
 4. An agent according to claim1 which binds to at least one ligand selected from: (a) a peptide moietyof 1 to 31 amino acid residues including a sequence of contiguous aminoacid residues comprised in the sequence of contiguous amino acids fromposition 1 to position 31 of a human RAMP-3 protein of SEQ ID NO: 6; (b)a peptide moiety of 1 to 15 amino acid residues including a sequence ofcontiguous amino acid residues comprised in the sequence of contiguousamino acids from position 32 to position 46 of a human RAMP-3 protein ofSEQ ID NO: 6; and (c) a peptide moiety of 1 to 53 amino acid residuesincluding a sequence of contiguous amino acid residues comprised in thesequence of contiguous amino acids from position 47 to position 99 ofhuman RAMP-3 protein of SEQ ID NO: 6; (d) a peptide moiety of 1 to 32amino acid residues including a sequence of contiguous amino acidresidues comprised in the sequence of contiguous amino acids fromposition 1 to position 32 of a human RAMP-3 protein of SEQ ID NO: 6; (e)a peptide moiety of 1 to 14 amino acid residues including a sequence ofcontiguous amino acid residues comprised in the sequence of contiguousamino acids from position 33 to position 46 of a human RAMP-3 protein ofSEQ ID NO: 6; and (f) a peptide moiety of 1 to 53 amino acid residuesincluding a sequence of contiguous amino acid residues comprised in thesequence of contiguous amino acids from position 47 to position 99 ofhuman RAMP-3 protein.
 5. An agent according to claim 1, which is capableof inhibiting proliferation of a human SW-13 cell by at least 10%,wherein said inhibition is measured using a MTT Cell Proliferationassay.
 6. An agent according to claim 1, which is capable of reducing orinhibiting production of cAMP in a human MG63 osteosarcoma cell, whenstimulated by adrenomedullin, by at least about 15%.
 7. An agentaccording to claim 1, wherein the RAMP-1 protein is selected from i) apolypeptide, or variant thereof, encoded by a nucleic acid moleculeconsisting of SEQ ID NO: 1; ii) a polypeptide encoded by a nucleic acidmolecule which hybridizes under stringent conditions to a nucleic acidmolecule as defined in (i) above and which modulates CRLR function; andiii) a polypeptide encoded by a nucleic acid which is degenerate as aresult of the genetic code to the nucleic acid molecule defined in (i)and (ii), and wherein the RAMP-2 protein is selected from: i) apolypeptide, or variant thereof, encoded by a nucleic acid moleculeconsisting of SEQ ID NO: 3; ii) a polypeptide encoded by a nucleic acidmolecule which hybridizes under stringent conditions to a nucleic acidmolecule as defined in (i) above and which modulates CRLR function; andiii) a polypeptide comprising a nucleic acid which is degenerate as aresult of the genetic code to the nucleic acid molecule defined in (i)and (ii), and further wherein the RAMP-3 protein is selected from: i) apolypeptide, or variant thereof, encoded by a nucleic acid moleculeconsisting of a SEQ ID NO: 5; ii) a polypeptide encoded by a nucleicacid molecule which hybridizes under stringent conditions to a nucleicacid molecule as defined in (i) above and which modulates CRLR function;and iii) a polypeptide comprising a nucleic acid which is degenerate asa result of the genetic code to the nucleic acid sequence defined in (i)and (ii).
 8. An agent that modulates the effect of a polypeptide oncalcitonin receptor like receptor (CRLR) function wherein saidpolypeptide is selected from the group consisting of: i) a polypeptide,or variant thereof, encoded by a nucleic acid molecule consisting of SEQID NO: 1, 3 or 5; ii) a polypeptide encoded by a nucleic acid moleculewhich hybridizes under stringent conditions to a nucleic acid moleculeas defined in (i) above and which modulates CRLR function; and iii) apolypeptide comprising a nucleic acid which is degenerate as a result ofthe genetic code to the nucleic acid sequence defined in (i) and (ii).9. An agent according to claim 1, wherein the agent is an antibody or anactive binding part of an antibody.
 10. A pharmaceutical formulationcomprising an agent according to claim 1 and a pharmaceuticallyacceptable carrier, diluent or excipient.
 11. A vector which is adaptedfor the expression of an antibody according to claim
 9. 12. A cell whichhas been transformed or transfected with a vector of claim
 11. 13. Amethod for treating a disorder in a subject, comprising administering tothe subject an agent according to claim 1, wherein the disorder isselected from the group consisting of: cancer, osteoporosis, obesity,inflammatory disorders and/or inflammatory responses, angiopathy,diabetic angiopathy, microangiopathy, macroangiopathy, heart failure andwound healing.
 14. The method of claim 13, wherein the agent is anantibody that specifically binds to RAMP-3 (SEQ ID NO: 6).